Bobot, Bonnie Lynn
Bobot, Bonnie Lynn is an individual health care provider with primary practice located at 1020 N 12Th St , Milwaukee WI 53233-1308. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bobot, Bonnie Lynn can be contacted via phone (414) 219-5219.Contact Information
Primary practice address
1020 N 12Th St
Milwaukee WI 53233-1308
Phone: (414) 219-5219
Fax: (414) 219-5960
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 57050 | Wisconsin |
Profile Details
| NPI number | 1164748570 |
|---|---|
| LBN Legal business name | Bobot, Bonnie Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 9th, 2010 |
| Last updated | Nov 23rd, 2021 - about 4 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 | 1164748570 | NPPES |
| Wisconsin | MEDICAID | 100031408 |
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