Provider Demographics
NPI:1467559708
Name:REICH, BONNIE JEAN (N/A)
Entity Type:Individual
Prefix:MISS
First Name:BONNIE
Middle Name:JEAN
Last Name:REICH
Suffix:
Gender:F
Credentials:N/A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 381
Mailing Address - Street 2:
Mailing Address - City:TECUMSEH
Mailing Address - State:OK
Mailing Address - Zip Code:74873-0381
Mailing Address - Country:US
Mailing Address - Phone:405-213-8533
Mailing Address - Fax:405-366-2095
Practice Address - Street 1:19460 8A ST.
Practice Address - Street 2:
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73026-9475
Practice Address - Country:US
Practice Address - Phone:405-366-2095
Practice Address - Fax:405-366-2095
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes373H00000XNursing Service Related ProvidersDay Training/Habilitation Specialist