Fruge, Bonnie Ruth

Fruge, Bonnie Ruth is an individual health care provider with primary practice located at 1717 Oak Park Blvd Fl 3 , Lake Charles LA 70601-8990. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Fruge, Bonnie Ruth can be contacted via phone (337) 494-6865.

Contact Information

Primary practice address
1717 Oak Park Blvd Fl 3 Lake Charles LA 70601-8990
Phone: (337) 494-6865
Fax: (337) 494-6869
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN054410-AP03579 Louisiana

Profile Details

NPI number 1710947635
LBN Legal business name Fruge, Bonnie Ruth
Credentials Certified Family Nurse Practitioner (CFNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Jun 27th, 2018 - about 6 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 1710947635 NPPES
Louisiana MEDICAID 1431869

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