Roth, Bonnie Jane

Roth, Bonnie Jane is an individual health care provider with primary practice located at 14660 Oxnard St , Van Nuys CA 91411-3119. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Roth, Bonnie Jane can be contacted via phone (818) 901-4836.

Contact Information

Primary practice address
14660 Oxnard St Van Nuys CA 91411-3119
Fax: (818) 376-0044
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X

Profile Details

NPI number 1780716506
LBN Legal business name Roth, Bonnie Jane
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Mar 9th, 2011 - 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.

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