Carol Jean Sodman
Nurse Practitioner - Women's Health
1135 E 8th St
Traverse City
, Michigan 49686-2936
Carol Jean Sodman
Nurse Practitioner - Women's Health
1135 E 8th St
Traverse City
, Michigan 49686-2936
(231) 949-2084
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About
Features
Specialties
- Nurse Practitioner - Women's Health
Languages spoken
- English
Location
First Address
- Carol Jean Sodman
- 1135 E. Eighth Street
- Traverse City, MI
- Zip : 49686-2936
- Fax : (231) 949-2084
- Phone : (231) 929-1844
Second Address
- Carol Jean Sodman
- 1135 E 8th St
- Traverse City, MI
- Zip : 49686-2936
- Fax : (231) 949-2084
- Phone : (231) 929-1844
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LW0102X | Nurse Practitioner - Women's Health | 4704097679 | MI |
National Provider Identifier
| NPI | 1023161213 |
|---|---|
| Provider Name | Carol Jean Sodman |
| First Address | Traverse City, MI 49686-2936 |
| Second Address | Traverse City, MI 49686-2936 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 19/01/2007 |
| Last Update Date | 14/02/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5008704830 | BLUE CROSS BLUE SHIELD (01) | MI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.