Bonsack, Carrie

Bonsack, Carrie is an individual health care provider with primary practice located at 1522 W Morris St , Indianapolis IN 46221-1629. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bonsack, Carrie can be contacted via phone (317) 488-2020.

Contact Information

Primary practice address
1522 W Morris St Indianapolis IN 46221-1629
Phone: (317) 488-2020
Fax: (317) 488-2031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 72000106 Indiana

Profile Details

NPI number 1164477188
LBN Legal business name Bonsack, Carrie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Apr 14th, 2011 - about 14 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 1164477188 NPPES
Indiana MEDICAID 200809090

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