Alcorn, Bonnie Ann
Alcorn, Bonnie Ann is an sole proprietor health care provider with primary practice located at 698 N Marietta Pkwy Ne , Marietta GA 30060-1529. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Alcorn, Bonnie Ann can be contacted via phone (770) 919-9088.Contact Information
Primary practice address
698 N Marietta Pkwy Ne
Marietta GA 30060-1529
Phone: (770) 919-9088
Fax: (770) 919-8708
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC002154 | Georgia |
Profile Details
| NPI number | 1568599561 |
|---|---|
| LBN Legal business name | Alcorn, Bonnie Ann |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568599561 | NPPES |
| Georgia | MEDICAID | 86451558A |
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