Bonomo, Carrie Ann
Bonomo, Carrie Ann is an individual health care provider with primary practice located at 204 Serio Blvd , Ferriday LA 71334. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bonomo, Carrie Ann can be contacted via phone (318) 757-8010.Contact Information
Primary practice address
204 Serio Blvd
Ferriday LA 71334
Phone: (318) 757-8010
Fax: (318) 757-9501
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 026732 | Louisiana |
Profile Details
| NPI number | 1992705016 |
|---|---|
| LBN Legal business name | Bonomo, Carrie Ann |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2005 |
| Last updated | Dec 21st, 2021 - about 4 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 | 1992705016 | NPPES |
| Louisiana | MEDICAID | 1160059 |
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