Ellenoff, Bonnie P
Ellenoff, Bonnie P is an individual health care provider with primary practice located at 3640 Tramore Pointe Pkwy Kaiser Permanente West Cobb Medical Center, Austell GA 30106-6825. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Ellenoff, Bonnie P can be contacted via phone (770) 439-4700.Contact Information
Primary practice address
3640 Tramore Pointe Pkwy Kaiser Permanente West Cobb Medical Center
Austell GA 30106-6825
Phone: (770) 439-4700
Fax: (404) 370-0428
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 051644 | Georgia |
Profile Details
| NPI number | 1306907001 |
|---|---|
| LBN Legal business name | Ellenoff, Bonnie P |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 13th, 2006 |
| Last updated | Jan 13th, 2022 - about 4 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 | 1306907001 | NPPES |
| Georgia | MEDICAID | 0009593950 |
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