Bahre, Bonita Marie

Bahre, Bonita Marie is an individual health care provider with primary practice located at 3315 Watt Ave , Sacramento CA 95821-3600. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bahre, Bonita Marie can be contacted via phone (916) 481-6800.

Contact Information

Primary practice address
3315 Watt Ave Sacramento CA 95821-3600
Fax: (916) 481-1881
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X G47416 California

Profile Details

NPI number 1396738829
LBN Legal business name Bahre, Bonita Marie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2005
Last updated Jul 8th, 2007 - about 15 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 1396738829 NPPES
California MEDICAID GR0028370

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