Bonifield, Mckenzie
Bonifield, Mckenzie is an individual health care provider with primary practice located at 400 S Lewis Ln , Carbondale IL 62901-3547. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonifield, Mckenzie can be contacted via phone (618) 519-9200.Contact Information
Primary practice address
400 S Lewis Ln
Carbondale IL 62901-3547
Phone: (618) 519-9200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 209022703 | Illinois |
Profile Details
| NPI number | 1205411204 |
|---|---|
| LBN Legal business name | Bonifield, Mckenzie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 11th, 2021 |
| Last updated | Mar 17th, 2021 - 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.
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