Bonkowski, Colleen
Bonkowski, Colleen is an individual health care provider with primary practice located at 3237 S 16Th St Radiology Dept. 2Nd Floor, Milwaukee WI 53215-4526. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bonkowski, Colleen can be contacted via phone (414) 647-5132.Contact Information
Primary practice address
3237 S 16Th St Radiology Dept. 2Nd Floor
Milwaukee WI 53215-4526
Phone: (414) 647-5132
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 44540 | Wisconsin |
Profile Details
| NPI number | 1508814286 |
|---|---|
| LBN Legal business name | Bonkowski, Colleen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Nov 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508814286 | NPPES |
| Wisconsin | MEDICAID | 34237300 |
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