Bonnen, Suzanne

Bonnen, Suzanne is an sole proprietor health care provider with primary practice located at 564 Sw 3Rd St , Corvallis OR 97333-4439. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Bonnen, Suzanne can be contacted via phone (541) 602-9577.

Contact Information

Primary practice address
564 Sw 3Rd St Corvallis OR 97333-4439
Fax:
Website:

Health care specialties

Profile Details

NPI number 1366988032
LBN Legal business name Bonnen, Suzanne
Credentials LMT 16652
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 18th, 2017
Last updated Jan 18th, 2017 - about 9 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 1366988032 NPPES
Oregon Other 16652 OREGON BOARD OF MASSAGE

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