Bonnell, Regina Sue

Bonnell, Regina Sue is an individual health care provider with primary practice located at 6905 E State St , Rockford IL 61108-2692. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Technician, Other, which is considered as her primary health care specialty. Bonnell, Regina Sue can be contacted via phone (815) 397-4142.

Contact Information

Primary practice address
6905 E State St Rockford IL 61108-2692
Phone: (815) 397-4142
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1568803237
LBN Legal business name Bonnell, Regina Sue
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 10th, 2013
Last updated Jul 10th, 2013 - about 13 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 1568803237 NPPES
Other 610557-11 NATIONAL CERTIFIED IN THERAPEUTIC MASSAGE AND BODYWORK
Other 227013896 NATIONAL CERTIFIED IN THERAPEUTIC MASSAGE AND BODYWORK

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