Doctor Name: | MRS. BONNIE L SPRINKLE |
NPI Number: | 1710219647 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 20-8418730 |
Business Practice Address: | 2040 Creek Road Crown Point, NY - 12928 |
Business Phone Number: | 5185973313 |
Business Fax Number: | |
Mailing Address: | Po Box 138, CROWN POINT |
State: | NY |
Postal Code: | 129280138 |
Phone Number: | 5185973313 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2010 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225500000X |
License Number: | 20-8418730 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Specialist/Technologist |
Taxonomy Specialization: | |
Taxonomy Definition: | General classification identifying individuals who are trained on a specific piece of equipment or technical procedure. |