Broek, Bonnie Jean

Broek, Bonnie Jean is an sole proprietor health care provider with primary practice located at 1302 Madera Rd Ste 2 , Simi Valley CA 93065-4019. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutrition, Pediatric, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Broek, Bonnie Jean can be contacted via phone (805) 404-8082.

Contact Information

Primary practice address
1302 Madera Rd Ste 2 Simi Valley CA 93065-4019
Phone: (805) 404-8082
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutrition, Pediatric 133VN1004X
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X

Profile Details

NPI number 1376019943
LBN Legal business name Broek, Bonnie Jean
Credentials RDN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 22nd, 2018
Last updated Sep 1st, 2026 - about 2 months 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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