Allen, Bonnie M.

Allen, Bonnie M. is an individual health care provider with primary practice located at 1471 Chester Blvd , Richmond IN 47374-1945. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Allen, Bonnie M. can be contacted via phone (765) 935-8581.

Contact Information

Primary practice address
1471 Chester Blvd Richmond IN 47374-1945
Fax: (765) 935-1171
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 71005645A Indiana

Profile Details

NPI number 1598131328
LBN Legal business name Allen, Bonnie M.
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2015
Last updated May 12th, 2021 - about 3 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 1598131328 NPPES
Indiana MEDICAID 201313040
Indiana Other 000000957439
Indiana MEDICAID 0152309

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