Hanson, Bonnie Mcmanamon

Hanson, Bonnie Mcmanamon is an individual health care provider with primary practice located at 4228 Houma Blvd Ste 130 , Metairie LA 70006-3003. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Hanson, Bonnie Mcmanamon can be contacted via phone (504) 454-2222.

Contact Information

Primary practice address
4228 Houma Blvd Ste 130 Metairie LA 70006-3003
Phone: (504) 454-2222
Fax: (504) 454-2388
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA.200729 Louisiana

Profile Details

NPI number 1164823977
LBN Legal business name Hanson, Bonnie Mcmanamon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2014
Last updated Dec 2nd, 2022 - 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 1164823977 NPPES
Mississippi MEDICAID 08404301
Mississippi MEDICAID 2380613

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