Mackenzie, Bonnie Suzanne
Mackenzie, Bonnie Suzanne is an individual health care provider with primary practice located at 365 Montauk Ave , New London CT 06320-4700. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Mackenzie, Bonnie Suzanne can be contacted via phone (860) 442-0711.Contact Information
Primary practice address
365 Montauk Ave
New London CT 06320-4700
Phone: (860) 442-0711
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 247472 | New York |
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 207PP0204X | MD13276 | Rhode Island |
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD13276 | Rhode Island |
Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 52132 | Connecticut |
Profile Details
NPI number | 1275790958 |
---|---|
LBN Legal business name | Mackenzie, Bonnie Suzanne |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 20th, 2008 |
Last updated | Jul 9th, 2013 - about 11 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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