Williams, Bonnie
Williams, Bonnie is an individual health care provider with primary practice located at 3314 Barrington Rd , Bloomington IL 61704-8361. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Williams, Bonnie can be contacted via phone (801) 703-3303.Contact Information
Primary practice address
3314 Barrington Rd
Bloomington IL 61704-8361
Phone: (801) 703-3303
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X |
Profile Details
| NPI number | 1508443086 |
|---|---|
| LBN Legal business name | Williams, Bonnie |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2021 |
| Last updated | Mar 29th, 2021 - about 5 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 | 1508443086 | NPPES |
| Other | 1028102 | COMMISSION ON DIETETIC REGISTRATION |
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