Ellestad, Bonney Louise

Ellestad, Bonney Louise is an sole proprietor health care provider with primary practice located at 650 Clark Way , Palo Alto CA 94304-2300. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Ellestad, Bonney Louise can be contacted via phone (925) 323-5536.

Contact Information

Primary practice address
650 Clark Way Palo Alto CA 94304-2300
Phone: (925) 323-5536
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1710049176
LBN Legal business name Ellestad, Bonney Louise
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 14th, 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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