Bonnick, Andrea Marie

Bonnick, Andrea Marie is an sole proprietor health care provider with primary practice located at 2041 Georgia Ave Nw Suite 4C-46, Washington DC 20060-0001. She recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as her primary health care specialty. Bonnick, Andrea Marie can be contacted via phone (202) 865-1361.

Contact Information

Primary practice address
2041 Georgia Ave Nw Suite 4C-46 Washington DC 20060-0001
Phone: (202) 865-1361
Fax: (202) 865-3323
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X DN5626 District of Columbia

Profile Details

NPI number 1366567380
LBN Legal business name Bonnick, Andrea Marie
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 20th, 2007
Last updated Jul 8th, 2007 - about 19 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 1366567380 NPPES
District of Columbia Other 4833 BLUECROSSBLUE SHIELD
District of Columbia MEDICAID 0802270 BLUECROSSBLUE SHIELD

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