| Jamie L Bodenhafer Llc | |
|
17657 Avilla Blvd Lathrup Village MI 48076-2732 | |
| (248) 259-3527 | |
| Not Available |
| Full Name | Jamie L Bodenhafer Llc |
|---|---|
| Speciality | Social Worker |
| Location | 17657 Avilla Blvd, Lathrup Village, Michigan |
| Authorized Official Name and Position | Jamie Lorraine Bodenhafer (CLINCAL SOCIAL WORKER/ADMINISTRATOR) |
| Authorized Official Contact | 2482593527 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie L Bodenhafer Llc 17657 Avilla Blvd Lathrup Village MI 48076-2732 Ph: (248) 259-3527 | Jamie L Bodenhafer Llc 17657 Avilla Blvd Lathrup Village MI 48076-2732 Ph: (248) 259-3527 |
| NPI Number | 1104129782 |
|---|---|
| Provider Enumeration Date | 12/21/2010 |
| Last Update Date | 12/21/2010 |
| Medicare PECOS PAC ID | 4587843842 |
|---|---|
| Medicare Enrollment ID | O20110119000952 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104129782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801087081 (Michigan) | Primary |
| Provider Name | Jamie L Bodenhafer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508909532 PECOS PAC ID: 7911090683 Enrollment ID: I20080519000690 |
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