Bond, David R

Bond, David R is an individual health care provider with primary practice located at 5320 Michaels Dr , Appleton WI 54913-8446. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as his primary health care specialty. Bond, David R can be contacted via phone (920) 882-8200.

Contact Information

Primary practice address
5320 Michaels Dr Appleton WI 54913-8446
Phone: (920) 882-8200
Fax: (920) 882-8210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 122064 Wisconsin

Profile Details

NPI number 1992797112
LBN Legal business name Bond, David R
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Jul 8th, 2007 - about 17 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 1992797112 NPPES
Wisconsin MEDICAID 32884500

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