Weingarten, Bonny Mae
Weingarten, Bonny Mae is an sole proprietor health care provider with primary practice located at 29 Railroad Ave , Gloucester MA 01930. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Weingarten, Bonny Mae can be contacted via phone (978) 281-4514.Contact Information
Primary practice address
29 Railroad Ave
Gloucester MA 01930
Phone: (978) 281-4514
Fax: (978) 281-4668
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | MA3399TP | Massachusetts |
Profile Details
| NPI number | 1891755229 |
|---|---|
| LBN Legal business name | Weingarten, Bonny Mae |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Dec 17th, 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 | 1891755229 | NPPES |
| Massachusetts | MEDICAID | 0355917 |
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