Anderson, Bonnie J.
Anderson, Bonnie J. is an sole proprietor health care provider with primary practice located at 20 First Avenue S.W. , Bowman ND 58623. She recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is her primary health care specialty. Anderson, Bonnie J. can be contacted via phone (701) 523-5651.Contact Information
Primary practice address
20 First Avenue S.W.
Bowman ND 58623
Phone: (701) 523-5651
Fax: (701) 523-5652
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 1771 | North Dakota |
| Dental Providers / Dentist | 122300000X | 1771 | North Dakota |
Profile Details
| NPI number | 1871702282 |
|---|---|
| LBN Legal business name | Anderson, Bonnie J. |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 22nd, 2007 |
| Last updated | Jul 9th, 2009 - about 17 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 | 1871702282 | NPPES |
| North Dakota | MEDICAID | 41045 | |
| North Dakota | MEDICAID | 041045 |
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