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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1437215779 NPPES
Florida MEDICAID 110899

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