White, Bonnie K

White, Bonnie K is an sole proprietor health care provider with primary practice located at 1100 Sawgrass Village Dr Suite 100, Ponte Vedra Beach FL 32082-5048. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. White, Bonnie K can be contacted via phone (904) 285-9355.

Contact Information

Primary practice address
1100 Sawgrass Village Dr Suite 100 Ponte Vedra Beach FL 32082-5048
Phone: (904) 285-9355
Fax: (904) 285-7442
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME99063 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35062590 Ohio

Profile Details

NPI number 1336146653
LBN Legal business name White, Bonnie K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 1st, 2005
Last updated Apr 17th, 2013 - about 13 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 1336146653 NPPES
Ohio Other 1892968001 CIGNA
Ohio Other OC07700 CIGNA
Ohio MEDICAID 0859110 CIGNA
Ohio Other 341106740029 CIGNA
Ohio Other 83307 CIGNA
Ohio Other 1006360 CIGNA
Ohio Other R62590 CIGNA
Ohio Other 000000127390 CIGNA
Ohio Other 4211817 CIGNA
Ohio Other 53013 CIGNA

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