Carter, Bonnie C
Carter, Bonnie C is an sole proprietor health care provider with primary practice located at 1940 E 42Nd St , Odessa TX 79762-5840. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Carter, Bonnie C can be contacted via phone (432) 640-6712.Contact Information
Primary practice address
1940 E 42Nd St
Odessa TX 79762-5840
Phone: (432) 640-6712
Fax: (432) 640-4788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | L5693 | Texas |
Profile Details
| NPI number | 1063417632 |
|---|---|
| LBN Legal business name | Carter, Bonnie C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 20th, 2005 |
| Last updated | Oct 19th, 2017 - about 7 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 | 1063417632 | NPPES |
| Texas | MEDICAID | 168174411 |
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