Anderson, Bonnie Louise
Anderson, Bonnie Louise is an individual health care provider with primary practice located at 1210 W Faris Rd , Greenville SC 29605-4444. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Anderson, Bonnie Louise can be contacted via phone (864) 295-4410.Contact Information
Primary practice address
1210 W Faris Rd
Greenville SC 29605-4444
Phone: (864) 295-4410
Fax: (864) 295-5694
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 22760 | South Carolina |
Profile Details
| NPI number | 1013916022 |
|---|---|
| LBN Legal business name | Anderson, Bonnie Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Jul 22nd, 2015 - about 9 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 | 1013916022 | NPPES |
| South Carolina | MEDICAID | 227604 |
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