Matlock, Bonnie Esther
Matlock, Bonnie Esther is an sole proprietor health care provider with primary practice located at 247 Chateau Dr Sw , Huntsville AL 35801-6401. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Matlock, Bonnie Esther can be contacted via phone (256) 533-9393.Contact Information
Primary practice address
247 Chateau Dr Sw
Huntsville AL 35801-6401
Phone: (256) 533-9393
Fax: (256) 533-9690
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2773 | Alabama |
Profile Details
NPI number | 1083741334 |
---|---|
LBN Legal business name | Matlock, Bonnie Esther |
Credentials | L.P.C., L.M.F.T. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 27th, 2007 |
Last updated | May 4th, 2010 - about 14 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 | 1083741334 | NPPES |
Virginia | Other | 224420000 | MAGELLAN INFORMATION SYST |
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