Bonus, Florence

Bonus, Florence is an individual health care provider with primary practice located at 2601 Ferry St , Lafayette IN 47904-3061. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Contractor, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Bonus, Florence can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2601 Ferry St Lafayette IN 47904-3061
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 05008917A Indiana
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05008917A Indiana

Profile Details

NPI number 1265566327
LBN Legal business name Bonus, Florence
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2007
Last updated Oct 1st, 2010 - 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 1265566327 NPPES
Indiana Other 000000640820 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200967080 ANTHEM PROVIDER NUMBER

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