De Vries, Bonnie

De Vries, Bonnie is an individual health care provider with primary practice located at 133 Pleasant St , Berlin NH 03570-2006. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. De Vries, Bonnie can be contacted via phone (603) 752-2040.

Contact Information

Primary practice address
133 Pleasant St Berlin NH 03570-2006
Phone: (603) 752-2040
Fax: (603) 752-7797
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19394 Maine
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60830957 Washington
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 21756 New Hampshire

Profile Details

NPI number 1922242163
LBN Legal business name De Vries, Bonnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2009
Last updated Sep 9th, 2021 - about 3 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 1922242163 NPPES
Maine MEDICAID 1922242163

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