Fredericks, Bonita L
Fredericks, Bonita L is an sole proprietor health care provider with primary practice located at 1177 Sumner Rd , Darien Center NY 14040-9797. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Fredericks, Bonita L can be contacted via phone (585) 547-9367.Contact Information
Primary practice address
1177 Sumner Rd
Darien Center NY 14040-9797
Phone: (585) 547-9367
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Providers / Licensed Practical Nurse | 164W00000X | 2677331 | New York |
Profile Details
NPI number | 1518139021 |
---|---|
LBN Legal business name | Fredericks, Bonita L |
Credentials | Licensed Practical Nurse (LPN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Mar 25th, 2008 |
Last updated | Mar 25th, 2008 - about 16 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 | 1518139021 | NPPES |
New York | MEDICAID | 02705966 |
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