Bodley, Keith Charles

Bodley, Keith Charles is an sole proprietor health care provider with primary practice located at 12501 Silver Fox Ln Apartment Number 1, Anchorage AK 99515-3527. He recently has only one registered license in Agencies / Case Management, which is considered as his primary health care specialty. Bodley, Keith Charles can be contacted via phone (907) 868-8661.

Contact Information

Primary practice address
12501 Silver Fox Ln Apartment Number 1 Anchorage AK 99515-3527
Phone: (907) 868-8661
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Agencies / Case Management 251B00000X Alaska

Profile Details

NPI number 1457564544
LBN Legal business name Bodley, Keith Charles
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1457564544 NPPES
Alaska Other CM31561 INDIVIDUAL IDENTIFICATION
Alaska Other CMG616 INDIVIDUAL IDENTIFICATION
Alaska Other 730834 INDIVIDUAL IDENTIFICATION

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