Hagglove, Bonnie

Hagglove, Bonnie is an sole proprietor health care provider with primary practice located at 35 Gilligan Rd , East Greenbush NY 12061-1715. She recently has only one registered license in Agencies / Local Education Agency (LEA), which is considered as her primary health care specialty. Hagglove, Bonnie can be contacted via phone (518) 207-2430.

Contact Information

Primary practice address
35 Gilligan Rd East Greenbush NY 12061-1715
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Local Education Agency (LEA) 251300000X

Profile Details

NPI number 1932485570
LBN Legal business name Hagglove, Bonnie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 27th, 2011
Last updated Oct 27th, 2011 - about 13 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 1932485570 NPPES
New York MEDICAID 01409145

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