Connolly, Bonnie
Connolly, Bonnie is an individual health care provider with primary practice located at Dept La 21069 , Pasadena CA 91185-1069. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Connolly, Bonnie can be contacted via phone (714) 628-3211.Contact Information
Primary practice address
Dept La 21069
Pasadena CA 91185-1069
Phone: (714) 628-3211
Fax: (714) 639-0593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | BC082902 | Michigan |
Profile Details
| NPI number | 1780648725 |
|---|---|
| LBN Legal business name | Connolly, Bonnie |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Dec 13th, 2011 - about 15 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 | 1780648725 | NPPES |
| Michigan | MEDICAID | 4597443 |
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