Bonner, Karen M
Bonner, Karen M is an individual health care provider with primary practice located at 615 Pennsylvania Ave Sheboygan County Inhealth Clinic, Sheboygan WI 53081-4642. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonner, Karen M can be contacted via phone (920) 547-4210.Contact Information
Primary practice address
615 Pennsylvania Ave Sheboygan County Inhealth Clinic
Sheboygan WI 53081-4642
Phone: (920) 547-4210
Fax: (262) 247-0662
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 1906-033 | Wisconsin |
Profile Details
| NPI number | 1205971546 |
|---|---|
| LBN Legal business name | Bonner, Karen M |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2007 |
| Last updated | May 27th, 2008 - about 18 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 | 1205971546 | NPPES |
| Wisconsin | MEDICAID | 43968900 |
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