Nowak, Bonnie E

Nowak, Bonnie E is an individual health care provider with primary practice located at 1106 E Prospect Rd Suite 100, Fort Collins CO 80525-5306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Nowak, Bonnie E can be contacted via phone (970) 495-7410.

Contact Information

Primary practice address
1106 E Prospect Rd Suite 100 Fort Collins CO 80525-5306
Phone: (970) 495-7410
Fax: (970) 495-7425
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5464 South Dakota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 49398 Colorado

Profile Details

NPI number 1326049016
LBN Legal business name Nowak, Bonnie E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Dec 21st, 2015 - about 9 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 1326049016 NPPES
South Dakota MEDICAID 6004840
South Dakota MEDICAID 82955379
South Dakota MEDICAID 133241400

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