Owens, Bonny Lou
Owens, Bonny Lou is an individual health care provider with primary practice located at 1405 Sheridan Dr , Tonawanda NY 14217-1248. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Owens, Bonny Lou can be contacted via phone (716) 836-4090.Contact Information
Primary practice address
1405 Sheridan Dr
Tonawanda NY 14217-1248
Phone: (716) 836-4090
Fax: (716) 836-4036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X |
Profile Details
| NPI number | 1588669741 |
|---|---|
| LBN Legal business name | Owens, Bonny Lou |
| Credentials | CVBCS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2005 |
| Last updated | Jul 8th, 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 | 1588669741 | NPPES |
| New York | MEDICAID | 01482631 |
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