Bonzer Medical, Llc

LBN: Bonzer Medical, Llc
Bonzer Medical, Llc is an health care organization with primary practice located at 4423 S County Road 125 E , Greencastle IN 46135-9237. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as the primary health care specialty. Bonzer Medical, Llc can be contacted via phone (765) 653-8453, or through Cramer, Charlotte Louise via phone (765) 653-8453.

Contact Information

Primary practice address
4423 S County Road 125 E Greencastle IN 46135-9237
Fax: (765) 653-8493
Website:
Authorized official contact:
Name: Cramer, Charlotte Louise OFFICE MANANGER

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X

Profile Details

NPI number 1083235188
LBN Legal business name Bonzer Medical, Llc
DBA Doing business as
Authorized official Cramer, Charlotte Louise OFFICE MANANGER
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2020
Last updated Apr 29th, 2020 - about 5 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083235188 NPPES
Indiana MEDICAID 200521550
Indiana MEDICAID 02002904A

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