Bleeker, Bonnie L.

Bleeker, Bonnie L. is an individual health care provider with primary practice located at 910 E 20Th St , Sioux Falls SD 57105. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bleeker, Bonnie L. can be contacted via phone (605) 334-6730.

Contact Information

Primary practice address
910 E 20Th St Sioux Falls SD 57105
Fax: (605) 334-8096
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0288 South Dakota

Profile Details

NPI number 1083618631
LBN Legal business name Bleeker, Bonnie L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated May 5th, 2022 - about 2 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 1083618631 NPPES
South Dakota MEDICAID 6821228

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