Bonnick, Andrea Marie
Bonnick, Andrea Marie is an sole proprietor health care provider with primary practice located at 2041 Georgia Ave Nw Suite 4C-46, Washington DC 20060-0001. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Bonnick, Andrea Marie can be contacted via phone (202) 865-1361.Contact Information
Primary practice address
2041 Georgia Ave Nw Suite 4C-46
Washington DC 20060-0001
Phone: (202) 865-1361
Fax: (202) 865-3323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | DN5626 | District of Columbia |
Profile Details
| NPI number | 1366567380 |
|---|---|
| LBN Legal business name | Bonnick, Andrea Marie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1366567380 | NPPES |
| District of Columbia | Other | 4833 | BLUECROSSBLUE SHIELD |
| District of Columbia | MEDICAID | 0802270 | BLUECROSSBLUE SHIELD |
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