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Contact Information

CASEY BODKIN
1107 14TH AVE SE STE 200
DECATUR, AL35601-3354
 Phone: 256-705-4224
 Fax: 256-705-4135
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for CASEY BODKIN · (Female)

NPI Number 1881306769
Status Active
Credentials
Entity Individual
Enumeration date 12/22/2022
Last updated 02/02/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • AL License # 1-143476
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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