Williams, Bonnie

Williams, Bonnie is an individual health care provider with primary practice located at 3413 Cherry St , Erie PA 16508-2678. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Williams, Bonnie can be contacted via phone (814) 868-9828.

Contact Information

Primary practice address
3413 Cherry St Erie PA 16508-2678
Fax: (814) 868-8561
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD050886L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 036088153 Illinois

Profile Details

NPI number 1497754436
LBN Legal business name Williams, Bonnie
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Jan 24th, 2023 - about 3 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 1497754436 NPPES
Illinois MEDICAID 036088153

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