Vaillancourt, Bonnie L
Vaillancourt, Bonnie L is an sole proprietor health care provider with primary practice located at 148 Key Road Suite B , Keene NH 03431-3927. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Vaillancourt, Bonnie L can be contacted via phone (603) 352-4199.Contact Information
Primary practice address
148 Key Road Suite B
Keene NH 03431-3927
Phone: (603) 352-4199
Fax: (603) 352-9177
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 1002 | New Hampshire |
Profile Details
| NPI number | 1639383441 |
|---|---|
| LBN Legal business name | Vaillancourt, Bonnie L |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 10th, 2007 |
| Last updated | Sep 11th, 2020 - about 6 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 | 1639383441 | NPPES |
| New Hampshire | MEDICAID | 3072519 | |
| New Hampshire | Other | 66Y011060NH01 |
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