Cook, Bonnie Delane
Cook, Bonnie Delane is an individual health care provider with primary practice located at 4370 W Main St , Dothan AL 36305. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cook, Bonnie Delane can be contacted via phone (334) 793-5000.Contact Information
Primary practice address
4370 W Main St
Dothan AL 36305
Phone: (334) 793-5000
Fax: (334) 615-8419
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 1052607 | Alabama |
Profile Details
| NPI number | 1760443576 |
|---|---|
| LBN Legal business name | Cook, Bonnie Delane |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1760443576 | NPPES |
| Alabama | Other | 51515738 | BLUE CROSS BLUE SHIELD |
| Alabama | Other | P00057524 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 1771406 | BLUE CROSS BLUE SHIELD |
| Alabama | MEDICAID | 08406806 | BLUE CROSS BLUE SHIELD |
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