Jude, Bonita Louise
Jude, Bonita Louise is an individual health care provider with primary practice located at 2480 Llewellyn Ave , Fort Meade MD 20755-7081. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Jude, Bonita Louise can be contacted via phone (301) 677-8641.Contact Information
Primary practice address
2480 Llewellyn Ave
Fort Meade MD 20755-7081
Phone: (301) 677-8641
Fax: (301) 677-8485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | D0051446 | Maryland |
Profile Details
| NPI number | 1336139880 |
|---|---|
| LBN Legal business name | Jude, Bonita Louise |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 26th, 2005 |
| Last updated | Apr 19th, 2023 - about 3 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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