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Nilah Nicole Bonham Od Pc
Durable Medical Equipment & Medical Supplies in Brazil, Indiana
NPI 1477728970

Nilah Nicole Bonham Od Pc is a Durable Medical Equipment & Medical Supplies based in Brazil, IN. Nilah Nicole Bonham Od Pc practices in Brazil, IN. The NPI Number for Nilah Nicole Bonham Od Pc is 1477728970 and holds a License No. 6024820001 (Indiana).

The current practice location address for Nilah Nicole Bonham Od Pc is 325 W National Ave, Brazil, IN and can be reached out via phone at 812-443-0060.

Location: 325 W National Ave, Brazil, IN, 47834-2542
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1477728970
Provider Name
Nilah Nicole Bonham Od Pc
Credential
Provider Entity Type
Organization
Address
325 W National Ave, Brazil, IN, 47834-2542
Phone Number
812-443-0060
Fax Number
Provider Enumeration Date
04/25/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6024820001 01 IN MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
325 W National Ave
City
Brazil
State
Indiana
Zip
47834-2542
Phone Number
812-443-0060
Fax Number
person
Provider Business Mailing Address Details
Address
325 W National Ave
City
Brazil
State
Indiana
Zip
47834-2542
Phone Number
812-443-0060
Fax Number
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
6024820001 (Indiana)
Definition
A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.
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