Henning, Bonny Dawn

Henning, Bonny Dawn is an sole proprietor health care provider with primary practice located at 1855 W Main St , Newark OH 43055-1135. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Henning, Bonny Dawn can be contacted via phone (614) 257-5200.

Contact Information

Primary practice address
1855 W Main St Newark OH 43055-1135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4745 Ohio
Eye and Vision Services Providers / Optometrist 152W00000X OH4745/T1549 Ohio

Profile Details

NPI number 1720086127
LBN Legal business name Henning, Bonny Dawn
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 8th, 2005
Last updated Mar 21st, 2022 - about 2 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 1720086127 NPPES
Ohio Other 000000116079 ANTHEM BLUE CROSS

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