Hallett, Bonnie Eileen
Hallett, Bonnie Eileen is an sole proprietor health care provider with primary practice located at 112 Park Ave , Wellsville NY 14895-1162. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Hallett, Bonnie Eileen can be contacted via phone (585) 593-7781.Contact Information
Primary practice address
112 Park Ave
Wellsville NY 14895-1162
Phone: (585) 593-7781
Fax: (585) 593-1291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | R045218-1 | New York |
Profile Details
| NPI number | 1619048824 |
|---|---|
| LBN Legal business name | Hallett, Bonnie Eileen |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 10th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619048824 | NPPES |
| Other | 00054374001 | UNIVERA INS | |
| Other | 00152483 | UNIVERA INS | |
| MEDICAID | 71-02112027 | UNIVERA INS | |
| Other | 162167 | UNIVERA INS | |
| Other | 000526101001 | UNIVERA INS | |
| Other | HB603100 | UNIVERA INS |
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