Bonay, Katherine Grace
Bonay, Katherine Grace is an sole proprietor health care provider with primary practice located at 163 Fort Evans Rd Ne , Leesburg VA 20176-4420. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Bonay, Katherine Grace can be contacted via phone (706) 443-2000.Contact Information
Primary practice address
163 Fort Evans Rd Ne
Leesburg VA 20176-4420
Phone: (706) 443-2000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1962125005 |
|---|---|
| LBN Legal business name | Bonay, Katherine Grace |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 23rd, 2022 |
| Last updated | Sep 23rd, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962125005 | NPPES |
| Colorado | Other | 171416160 | DL |
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