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
Fax: (505) 234-3452
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871628776 NPPES
New Mexico MEDICAID S0147

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