Bonne, Brianna P
Bonne, Brianna P is an individual health care provider with primary practice located at 550 University Blvd Ste 170 , Indianapolis IN 46202-5149. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bonne, Brianna P can be contacted via phone (317) 948-4272.Contact Information
Primary practice address
550 University Blvd Ste 170
Indianapolis IN 46202-5149
Phone: (317) 948-4272
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 10002608A | Indiana |
Profile Details
| NPI number | 1750857249 |
|---|---|
| LBN Legal business name | Bonne, Brianna P |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 23rd, 2018 |
| Last updated | Apr 4th, 2024 - about 2 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 | 1750857249 | NPPES |
| Indiana | Other | 000001233374 | ANTHEM PTAN |
| Indiana | Other | 266430759 | ANTHEM PTAN |
| Indiana | Other | Q00047646 | ANTHEM PTAN |
| Indiana | MEDICAID | 300022403 | ANTHEM PTAN |
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