Hacker, Bonnie J

Hacker, Bonnie J is an individual health care provider with primary practice located at 3905 University Dr , Durham NC 27707-2517. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Hacker, Bonnie J can be contacted via phone (919) 928-0204.

Contact Information

Primary practice address
3905 University Dr Durham NC 27707-2517
Fax: (919) 928-9423
Website:

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X 216 North Carolina

Profile Details

NPI number 1871649731
LBN Legal business name Hacker, Bonnie J
Credentials MHS, OTRL
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Nov 1st, 2012 - about 12 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 1871649731 NPPES
North Carolina MEDICAID 7301506

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