Bonin, Kathleen
Bonin, Kathleen is an individual health care provider with primary practice located at 42 Town St Ste 300 , Norwich CT 06360-2339. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Primary Care is her primary health care specialty. Bonin, Kathleen can be contacted via phone (860) 886-0567.Contact Information
Primary practice address
42 Town St Ste 300
Norwich CT 06360-2339
Phone: (860) 886-0567
Fax: (860) 886-0567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 002975 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 002975 | Connecticut |
Profile Details
| NPI number | 1588653596 |
|---|---|
| LBN Legal business name | Bonin, Kathleen |
| Credentials | Advanced Practice Registered Nurse (APRN) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jan 10th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588653596 | NPPES |
| Connecticut | Other | 400002975CT01 | ANTHEM BLUE CROSS |
| Connecticut | Other | P3245483 | ANTHEM BLUE CROSS |
| Connecticut | MEDICAID | 004242848 | ANTHEM BLUE CROSS |
| Connecticut | Other | 2V4906 | ANTHEM BLUE CROSS |
| Connecticut | Other | 102975 | ANTHEM BLUE CROSS |
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