Bontrager, Cynthia
Bontrager, Cynthia is an individual health care provider with primary practice located at 2120 Rieth Blvd Suite A, Goshen IN 46526-5843. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bontrager, Cynthia can be contacted via phone (574) 875-5126.Contact Information
Primary practice address
2120 Rieth Blvd Suite A
Goshen IN 46526-5843
Phone: (574) 875-5126
Fax: (574) 875-1874
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01042854A | Indiana |
Profile Details
| NPI number | 1205806098 |
|---|---|
| LBN Legal business name | Bontrager, Cynthia |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2006 |
| Last updated | Dec 11th, 2009 - about 16 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 | 1205806098 | NPPES |
| Indiana | Other | 000000567803 EGH | ANTHEM BLUE CROSS & BLUE SHIELD |
| Indiana | Other | 000000484891 | ANTHEM BLUE CROSS & BLUE SHIELD |
| Indiana | MEDICAID | 100325640 | ANTHEM BLUE CROSS & BLUE SHIELD |
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