Decker, Bonita

Decker, Bonita is an individual health care provider with primary practice located at 1406 W Main St , Belleville IL 62220. She recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as her primary health care specialty. Decker, Bonita can be contacted via phone (618) 233-1194.

Contact Information

Primary practice address
1406 W Main St Belleville IL 62220
Fax: (618) 235-1441
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X Illinois

Profile Details

NPI number 1841243672
LBN Legal business name Decker, Bonita
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jul 8th, 2007 - about 18 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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