Martin, Bonnie M
Martin, Bonnie M is an individual health care provider with primary practice located at 5207 Trouble Creek Rd , New Port Richey FL 34652-4915. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Martin, Bonnie M can be contacted via phone (727) 847-0069.Contact Information
Primary practice address
5207 Trouble Creek Rd
New Port Richey FL 34652-4915
Phone: (727) 847-0069
Fax: (727) 849-3780
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | SW 5088 | Florida |
Profile Details
NPI number | 1437215779 |
---|---|
LBN Legal business name | Martin, Bonnie M |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Dec 29th, 2006 |
Last updated | Jul 9th, 2007 - about 17 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 | 1437215779 | NPPES |
Florida | MEDICAID | 110899 |
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