Blazer, Bonita
Blazer, Bonita is an sole proprietor health care provider with primary practice located at 302 N Washington Ave Ste 202 - East Building, Moorestown NJ 08057-2448. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Blazer, Bonita can be contacted via phone (856) 234-1270.Contact Information
Primary practice address
302 N Washington Ave Ste 202 - East Building
Moorestown NJ 08057-2448
Phone: (856) 234-1270
Fax: (856) 234-0632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X |
Profile Details
| NPI number | 1740494616 |
|---|---|
| LBN Legal business name | Blazer, Bonita |
| Credentials | PH.D |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 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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