Connolly, Bonnie

Connolly, Bonnie is an individual health care provider with primary practice located at Dept La 21069 , Pasadena CA 91185-1069. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Connolly, Bonnie can be contacted via phone (714) 628-3211.

Contact Information

Primary practice address
Dept La 21069 Pasadena CA 91185-1069
Phone: (714) 628-3211
Fax: (714) 639-0593
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X BC082902 Michigan

Profile Details

NPI number 1780648725
LBN Legal business name Connolly, Bonnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
Last updated Dec 13th, 2011 - 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 1780648725 NPPES
Michigan MEDICAID 4597443

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