Enneking, Bonnie J.

Enneking, Bonnie J. is an individual health care provider with primary practice located at 415 W Main St , Highland KS 66035-4143. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Enneking, Bonnie J. can be contacted via phone (785) 442-3213.

Contact Information

Primary practice address
415 W Main St Highland KS 66035-4143
Phone: (785) 442-3213
Fax: (785) 442-5572
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 44118 Kansas

Profile Details

NPI number 1609962620
LBN Legal business name Enneking, Bonnie J.
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 5th, 2006
Last updated Jul 8th, 2007 - about 19 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 1609962620 NPPES
Kansas MEDICAID 100417990A

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