Koski, Bonnie Lou

Koski, Bonnie Lou is an individual health care provider with primary practice located at 1601 Roosevelt Rd , Niagara WI 54151-1043. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Koski, Bonnie Lou can be contacted via phone (888) 724-6377.

Contact Information

Primary practice address
1601 Roosevelt Rd Niagara WI 54151-1043
Phone: (888) 724-6377
Fax: (715) 251-1681
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 2038-033 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704139032 Michigan

Profile Details

NPI number 1285626242
LBN Legal business name Koski, Bonnie Lou
Credentials DRNP, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2005
Last updated Mar 7th, 2023 - 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 1285626242 NPPES
Michigan MEDICAID 1285626242
Michigan Other 0B10056
Michigan MEDICAID 21329700

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