Wallace, Bonny Anne

Wallace, Bonny Anne is an individual health care provider with primary practice located at 167 Aipuni St , Hilo HI 96720-1803. She recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as her primary health care specialty. Wallace, Bonny Anne can be contacted via phone (808) 959-5855.

Contact Information

Primary practice address
167 Aipuni St Hilo HI 96720-1803
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1043972953
LBN Legal business name Wallace, Bonny Anne
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 7th, 2021
Last updated Oct 7th, 2021 - about 3 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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