Bonk, Jennifer Ann

Bonk, Jennifer Ann is an individual health care provider with primary practice located at 880 Independence Ln , Sauk City WI 53583-1381. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bonk, Jennifer Ann can be contacted via phone (608) 643-2343.

Contact Information

Primary practice address
880 Independence Ln Sauk City WI 53583-1381
Phone: (608) 643-2343
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 498 Wisconsin

Profile Details

NPI number 1285718106
LBN Legal business name Bonk, Jennifer Ann
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Oct 2nd, 2007 - about 18 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 1285718106 NPPES
Wisconsin MEDICAID 41152900

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