Aycock, Bonita C

Aycock, Bonita C is an individual health care provider with primary practice located at 100 Dodd St , Spring Hope NC 27882-9348. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Aycock, Bonita C can be contacted via phone (252) 478-5412.

Contact Information

Primary practice address
100 Dodd St Spring Hope NC 27882-9348
Phone: (252) 478-5412
Fax: (252) 937-3100
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 200892 North Carolina

Profile Details

NPI number 1619961620
LBN Legal business name Aycock, Bonita C
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 6th, 2005
Last updated Mar 7th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619961620 NPPES
North Carolina Other 500005810 RAILROAD MEDICARE
North Carolina Other 1619961620 RAILROAD MEDICARE
North Carolina Other 58594 RAILROAD MEDICARE
North Carolina MEDICAID 7000422 RAILROAD MEDICARE
North Carolina Other 363L00000X RAILROAD MEDICARE

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