Owens, Bonny Lou

Owens, Bonny Lou is an individual health care provider with primary practice located at 1405 Sheridan Dr , Tonawanda NY 14217-1248. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Owens, Bonny Lou can be contacted via phone (716) 836-4090.

Contact Information

Primary practice address
1405 Sheridan Dr Tonawanda NY 14217-1248
Fax: (716) 836-4036
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1588669741
LBN Legal business name Owens, Bonny Lou
Credentials CVBCS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2005
Last updated Jul 8th, 2007 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588669741 NPPES
New York MEDICAID 01482631

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