Provider Demographics
NPI:1497783575
Name:BONNET, BRIGETTE EVON (DC)
Entity Type:Individual
Prefix:DR
First Name:BRIGETTE
Middle Name:EVON
Last Name:BONNET
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2109 19TH ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301-3708
Mailing Address - Country:US
Mailing Address - Phone:661-325-6325
Mailing Address - Fax:661-325-0241
Practice Address - Street 1:2109 19TH ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-3708
Practice Address - Country:US
Practice Address - Phone:661-325-6325
Practice Address - Fax:661-325-0241
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17950111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor