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:
Health care specialties
Specialty | Code | License # | 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 6 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1215015789 | NPPES |
Minnesota | Other | 926S8EL | BCBS |
Minnesota | MEDICAID | 402820100 | BCBS |
Minnesota | Other | 6254698 | BCBS |
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