Bonilla Alicea, Marlene
Bonilla Alicea, Marlene is an individual health care provider with primary practice located at 6625 Lyndale Ave S Ste 105 , Richfield MN 55423-2673. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Bonilla Alicea, Marlene can be contacted via phone (612) 788-8778.Contact Information
Primary practice address
6625 Lyndale Ave S Ste 105
Richfield MN 55423-2673
Phone: (612) 788-8778
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | N006419-1 | New York |
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1016 | Minnesota |
Profile Details
| NPI number | 1588856546 |
|---|---|
| LBN Legal business name | Bonilla Alicea, Marlene |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 14th, 2007 |
| Last updated | Apr 12th, 2023 - about last year |
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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