Bontrager, Dawn Elaine
Bontrager, Dawn Elaine is an sole proprietor health care provider with primary practice located at 203 E Mishawaka Ave , Mishawaka IN 46545-6602. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bontrager, Dawn Elaine can be contacted via phone (574) 256-3699.Contact Information
Primary practice address
203 E Mishawaka Ave
Mishawaka IN 46545-6602
Phone: (574) 256-3699
Fax: (574) 256-3060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 34005207A | Indiana |
Profile Details
| NPI number | 1417968587 |
|---|---|
| LBN Legal business name | Bontrager, Dawn Elaine |
| Credentials | LCSW , MDIV |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Mar 30th, 2015 - about 9 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 | 1417968587 | NPPES |
| Indiana | Other | 237580EEEE | MEDICARE (ADMINASTAR FEDERAL) |
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