Freeland, Bonnie Lee
Freeland, Bonnie Lee is an individual health care provider with primary practice located at Mccannel Hall Room 100 2891 2Nd Avenue North Stop 9038, Grand Forks ND 58202-9038. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Freeland, Bonnie Lee can be contacted via phone (701) 777-4500.Contact Information
Primary practice address
Mccannel Hall Room 100 2891 2Nd Avenue North Stop 9038
Grand Forks ND 58202-9038
Phone: (701) 777-4500
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R24760 | North Dakota |
Profile Details
NPI number | 1194784595 |
---|---|
LBN Legal business name | Freeland, Bonnie Lee |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 23rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1194784595 | NPPES |
North Dakota | MEDICAID | 19581 |
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