Ellis, Bonnie J

Ellis, Bonnie J is an individual health care provider with primary practice located at 689 Hogan Rd , Bangor ME 04401-3605. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is her primary health care specialty. Ellis, Bonnie J can be contacted via phone (207) 873-1131.

Contact Information

Primary practice address
689 Hogan Rd Bangor ME 04401-3605
Phone: (207) 873-1131
Fax: (207) 872-6014
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X Maine

Profile Details

NPI number 1922871599
LBN Legal business name Ellis, Bonnie J
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2023
Last updated Nov 13th, 2023 - about last year

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 1922871599 NPPES
Maine MEDICAID 1669590147

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