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Contact Information

CARRIE A BONOMO, MD
204 SERIO BLVD
FERRIDAY, LA71334
 Phone: 318-757-8010
 Fax: 318-757-9501
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for CARRIE A BONOMO · (Female)

NPI Number 1992705016
Status Active
Credentials MD
Entity Individual
Enumeration date 07/29/2005
Last updated 12/21/2021 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • LA License # 026732
  • LA Medicaid 1160059
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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