Acker Bonney, Clara Josephine

Acker Bonney, Clara Josephine is an individual health care provider with primary practice located at 1608 Hillside Road , Cambridge WI 53523. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Acker Bonney, Clara Josephine can be contacted via phone (608) 423-3489.

Contact Information

Primary practice address
1608 Hillside Road Cambridge WI 53523
Phone: (608) 423-3489
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 21166031 Wisconsin

Profile Details

NPI number 1780733071
LBN Legal business name Acker Bonney, Clara Josephine
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 19 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 1780733071 NPPES
Wisconsin MEDICAID 38352500

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