Wendel, Bonita J.

Wendel, Bonita J. is an individual health care provider with primary practice located at 2061 Cheyenne Ct , Grafton WI 53024-9368. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wendel, Bonita J. can be contacted via phone (262) 376-1934.

Contact Information

Primary practice address
2061 Cheyenne Ct Grafton WI 53024-9368
Phone: (262) 376-1934
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3244 Wisconsin

Profile Details

NPI number 1053590323
LBN Legal business name Wendel, Bonita J.
Credentials APNP/BC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2007
Last updated Nov 15th, 2011 - about 13 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 1053590323 NPPES
Wisconsin MEDICAID 36050600

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