Cullen, Bonnie L
Cullen, Bonnie L is an sole proprietor health care provider with primary practice located at 25 Hopkins Rd , Williamsville NY 14221-4641. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Cullen, Bonnie L can be contacted via phone (716) 632-8050.Contact Information
Primary practice address
25 Hopkins Rd
Williamsville NY 14221-4641
Phone: (716) 632-8050
Fax: (716) 632-2297
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | F380613-1 | New York |
Profile Details
| NPI number | 1790776359 |
|---|---|
| LBN Legal business name | Cullen, Bonnie L |
| Credentials | Pediatric Nurse Practitioner (PNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2005 |
| Last updated | Dec 2nd, 2016 - about 8 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 | 1790776359 | NPPES |
| New York | MEDICAID | 01507868 |
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