Fick, Bonnie Lou
Fick, Bonnie Lou is an individual health care provider with primary practice located at 1131 Tracy Place , Carlsbad NM 88220. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Fick, Bonnie Lou can be contacted via phone (505) 234-3318.Contact Information
Primary practice address
1131 Tracy Place
Carlsbad NM 88220
Phone: (505) 234-3318
Fax: (505) 234-3452
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | I05545 | New Mexico |
Profile Details
NPI number | 1871628776 |
---|---|
LBN Legal business name | Fick, Bonnie Lou |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2007 |
Last updated | Jul 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871628776 | NPPES |
New Mexico | MEDICAID | S0147 |
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