Bonita Wickstrom Inc

LBN: Bonita Wickstrom Inc
Bonita Wickstrom Inc is an health care organization with primary practice located at 12836 Lomas Blvd Ne Suite B, Albuquerque NM 87112-6210. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Bonita Wickstrom Inc can be contacted via phone (505) 453-7862, or through Wickstrom, Bonita via phone (505) 275-7795.

Contact Information

Primary practice address
12836 Lomas Blvd Ne Suite B Albuquerque NM 87112-6210
Phone: (505) 453-7862
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wickstrom, Bonita LISW
Phone: (505) 275-7795

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I4390 New Mexico

Profile Details

NPI number 1548205289
LBN Legal business name Bonita Wickstrom Inc
DBA Doing business as
Authorized official Wickstrom, Bonita LISW
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2006
Last updated Jan 29th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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