Bonnie J Ellis
Bonnie J Ellis is a Prosthetist in Bangor, Maine. Licensed in Maine. Registered with an NPI since 2023.
- Licensed in
- ME
- In the registry since
- 2023
- Specialties on file
- 2
Practice location Address checks out
689 Hogan RdBangor, ME 04401-3605
Phone: (207) 873-1131
Fax: (207) 872-6014
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X (ME) |
|---|---|
| Prosthetist | Taxonomy 224P00000X (ME) |
Record details
| NPI number | 1922871599 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 6, 2023 |
| Last updated in NPPES | November 13, 2023 |
| Certification date | November 13, 2023 |