Degrave, Bonnie A

Degrave, Bonnie A is an individual health care provider with primary practice located at 1300 Egg Harbor Rd Ste 108 , Sturgeon Bay WI 54235-1284. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Degrave, Bonnie A can be contacted via phone (920) 746-0410.

Contact Information

Primary practice address
1300 Egg Harbor Rd Ste 108 Sturgeon Bay WI 54235-1284
Phone: (920) 746-0410
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X

Profile Details

NPI number 1215045893
LBN Legal business name Degrave, Bonnie A
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Mar 3rd, 2010 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1215045893 NPPES
Wisconsin MEDICAID 40388200

Popular Providers