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
Fax: (262) 247-0662
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205971546 NPPES
Wisconsin MEDICAID 43968900

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