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Contact Information

NILAH N BONHAM, OD
325 W NATIONAL AVENUE
BRAZIL, IN47834
 Phone: 812-443-0060
 Fax: 812-446-5061
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for NILAH N BONHAM · (Female)

NPI Number 1275635534
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/05/2006
Last updated 07/22/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IN License # 18003365A
  • IN Other 18003365B INDIANA OLDPAC LIC.
  • IN Other 18003365A LICENSE
  • IN Other 254870 PTAN
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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