Rosenfeld, Bonnie L.

Rosenfeld, Bonnie L. is an individual health care provider with primary practice located at 200 Ne Mother Joseph Pl Suite 110, Vancouver WA 98664-3299. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Rosenfeld, Bonnie L. can be contacted via phone (360) 254-6161.

Contact Information

Primary practice address
200 Ne Mother Joseph Pl Suite 110 Vancouver WA 98664-3299
Fax: (360) 449-1146
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA10004003 Washington

Profile Details

NPI number 1225074990
LBN Legal business name Rosenfeld, Bonnie L.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2006
Last updated Oct 10th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225074990 NPPES
Washington MEDICAID 8355166

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