Beyer, Bonnie K

Beyer, Bonnie K is an individual health care provider with primary practice located at 2047 22Nd Ave , Kenosha WI 53140-4602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Beyer, Bonnie K can be contacted via phone (262) 551-9400.

Contact Information

Primary practice address
2047 22Nd Ave Kenosha WI 53140-4602
Phone: (262) 551-9400
Fax: (262) 551-9416
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1519-024 Wisconsin

Profile Details

NPI number 1295934628
LBN Legal business name Beyer, Bonnie K
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Apr 6th, 2008 - about 18 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 1295934628 NPPES
Wisconsin Other 391313084017 ANTHEM BLUE SHIELD
Wisconsin Other 1519-024 ANTHEM BLUE SHIELD
Wisconsin MEDICAID 40014000 ANTHEM BLUE SHIELD

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