Pettis, Bonnie

Pettis, Bonnie is an individual health care provider with primary practice located at 1405 Truax Blvd , Eau Claire WI 54703-1474. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreational Therapist Assistant, which is considered as her primary health care specialty. Pettis, Bonnie can be contacted via phone (715) 552-1030.

Contact Information

Primary practice address
1405 Truax Blvd Eau Claire WI 54703-1474
Phone: (715) 552-1030
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreational Therapist Assistant 226000000X

Profile Details

NPI number 1598287351
LBN Legal business name Pettis, Bonnie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2017
Last updated Jul 13th, 2017 - about 9 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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