Lee, Bonnie J
Lee, Bonnie J is an sole proprietor health care provider with primary practice located at 554 S 800 E , Slc UT 84102-2931. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Lee, Bonnie J can be contacted via phone (801) 557-4595.Contact Information
Primary practice address
554 S 800 E
Slc UT 84102-2931
Phone: (801) 557-4595
Fax: (801) 596-8080
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Geriatric Medicine | 207RG0300X | 1711891205 | Utah |
Profile Details
| NPI number | 1790779106 |
|---|---|
| LBN Legal business name | Lee, Bonnie J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2005 |
| Last updated | Feb 11th, 2009 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790779106 | NPPES |
| Utah | MEDICAID | 1790779106 |
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