Gilbertson, Bonita L

Gilbertson, Bonita L is an individual health care provider with primary practice located at 850 West Baraga Avenue Suite 30 , Marquette MI 49855. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Gilbertson, Bonita L can be contacted via phone (906) 225-3914.

Contact Information

Primary practice address
850 West Baraga Avenue Suite 30 Marquette MI 49855
Phone: (906) 225-3914
Fax: (906) 225-4583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 4704201809 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704201809 Michigan

Profile Details

NPI number 1548378201
LBN Legal business name Gilbertson, Bonita L
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated May 5th, 2021 - about 3 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 1548378201 NPPES
Michigan MEDICAID 33393472
Michigan Other 0870871

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