Bonny, Samantha

Bonny, Samantha is an sole proprietor health care provider with primary practice located at Rr 4 Box 36 , Shelbyville IL 62565-8636. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, which is considered as her primary health care specialty. Bonny, Samantha can be contacted via phone (217) 774-9629.

Contact Information

Primary practice address
Rr 4 Box 36 Shelbyville IL 62565-8636
Phone: (217) 774-9629
Fax: (217) 868-2113
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X

Profile Details

NPI number 1669683843
LBN Legal business name Bonny, Samantha
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 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.

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