Cleaveland, Bonnie Fralix
Cleaveland, Bonnie Fralix is an sole proprietor health care provider with primary practice located at 1173 Southgate Dr Suite A, Charleston SC 29407-4209. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Cleaveland, Bonnie Fralix can be contacted via phone (843) 571-4005.Contact Information
Primary practice address
1173 Southgate Dr Suite A
Charleston SC 29407-4209
Phone: (843) 571-4005
Fax: (877) 668-6051
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 666 | South Carolina |
Profile Details
| NPI number | 1164411948 |
|---|---|
| LBN Legal business name | Cleaveland, Bonnie Fralix |
| Credentials | PHD DBPP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 14th, 2005 |
| Last updated | Dec 2nd, 2008 - 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 | 1164411948 | NPPES |
| South Carolina | Other | 680011358 | RAILROAD MEDICARE |
| South Carolina | Other | 2050504 | RAILROAD MEDICARE |
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