Frederic Bonnie Jr.
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Mobile, AL
NPI 1295545838 · NPPES record last updated Jan 7, 2025
Key facts
- NPI
- 1295545838
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 307 N University Blvd
Mobile, AL 36688-3053 - Phone
- (251) 341-3030
- NPI assigned
- Jan 7, 2025
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
307 N University Blvd
Mobile, AL 36688-3053
Mailing address
307 N University Blvd
Mobile, AL 36688-3053
Other providers in Mobile, AL
- Leanne Bolton
- Wilburn Donald Bolton III
- Hannah Boltz
- Christina Bond
- Somer Moran Bonds
- Da'Shaura Booker
- Prudence Booker
- Elizabeth N. Boone
- Jessica Boone
- Cheryl Ann Booth
All providers in Mobile, AL · Student in an Organized Health Care Education/Training Program in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.