Southard, Bonita Marie

Southard, Bonita Marie is an sole proprietor health care provider with primary practice located at 620 Gallatin Pike S , Madison TN 37115-4013. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Southard, Bonita Marie can be contacted via phone (615) 460-4300.

Contact Information

Primary practice address
620 Gallatin Pike S Madison TN 37115-4013
Fax: (615) 460-4380
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 085586459 Tennessee

Profile Details

NPI number 1124359450
LBN Legal business name Southard, Bonita Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2010
Last updated Jan 27th, 2010 - about 15 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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