Hagen, Bonnie S.K.

Hagen, Bonnie S.K. is an individual health care provider with primary practice located at 7704 Wesley Rd. , Machesney Park IL 61115-3070. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Hagen, Bonnie S.K. can be contacted via phone (815) 639-9994.

Contact Information

Primary practice address
7704 Wesley Rd. Machesney Park IL 61115-3070
Phone: (815) 639-9994
Fax: (815) 639-9994
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 29454-031 Wisconsin

Profile Details

NPI number 1972566610
LBN Legal business name Hagen, Bonnie S.K.
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972566610 NPPES
Wisconsin MEDICAID 38235000

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