Ellingboe, Bonnie Kay

Ellingboe, Bonnie Kay is an sole proprietor health care provider with primary practice located at 14115 James Rd Ste 305 , Rogers MN 55374-9417. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Ellingboe, Bonnie Kay can be contacted via phone (763) 575-8086.

Contact Information

Primary practice address
14115 James Rd Ste 305 Rogers MN 55374-9417
Phone: (763) 575-8086
Fax: (320) 774-0415
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X MN3177 Minnesota

Profile Details

NPI number 1215015789
LBN Legal business name Ellingboe, Bonnie Kay
Credentials MA LP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated May 17th, 2018 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215015789 NPPES
Minnesota Other 926S8EL BCBS
Minnesota MEDICAID 402820100 BCBS
Minnesota Other 6254698 BCBS

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