Bodman, Marc G
Bodman, Marc G is an individual health care provider with primary practice located at 12731 New Brittany Blvd , Fort Myers FL 33907-3632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bodman, Marc G can be contacted via phone (239) 418-0999.Contact Information
Primary practice address
12731 New Brittany Blvd
Fort Myers FL 33907-3632
Phone: (239) 418-0999
Fax: (239) 418-0091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 046489 | Connecticut |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD.201176 | Louisiana |
Profile Details
| NPI number | 1376742957 |
|---|---|
| LBN Legal business name | Bodman, Marc G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2007 |
| Last updated | Jun 7th, 2010 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376742957 | NPPES |
| Mississippi | MEDICAID | 00601031 | |
| Mississippi | MEDICAID | 1508098 |
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