Provider Demographics
NPI:1164615043
Name:CHRISTNER, BONNIE E (BS)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:E
Last Name:CHRISTNER
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S MAPLE AVE
Mailing Address - Street 2:
Mailing Address - City:MARSHFIELD
Mailing Address - State:WI
Mailing Address - Zip Code:54449-3740
Mailing Address - Country:US
Mailing Address - Phone:715-384-7864
Mailing Address - Fax:
Practice Address - Street 1:517 COURT ST
Practice Address - Street 2:ROOM 503
Practice Address - City:NEILLSVILLE
Practice Address - State:WI
Practice Address - Zip Code:54456-1971
Practice Address - Country:US
Practice Address - Phone:715-743-5192
Practice Address - Fax:715-743-5209
Is Sole Proprietor?:No
Enumeration Date:2007-08-23
Last Update Date:2007-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator