Gong, Bonnie
Gong, Bonnie is an individual health care provider with primary practice located at 12910 Totem Lake Blvd Ne Suite 102, Kirkland WA 98034-2954. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Gong, Bonnie can be contacted via phone (425) 899-4455.Contact Information
Primary practice address
12910 Totem Lake Blvd Ne Suite 102
Kirkland WA 98034-2954
Phone: (425) 899-4455
Fax: (425) 899-4434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD00037065 | Washington |
Profile Details
| NPI number | 1447251970 |
|---|---|
| LBN Legal business name | Gong, Bonnie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Mar 25th, 2014 - about 10 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 | 1447251970 | NPPES |
| Washington | MEDICAID | 1106830 |
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