Bain, Lonniel Jason

Bain, Lonniel Jason is an individual health care provider with primary practice located at 457 Mclaws Cir Suite 1, Williamsburg VA 23185-5645. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bain, Lonniel Jason can be contacted via phone (757) 221-0750.

Contact Information

Primary practice address
457 Mclaws Cir Suite 1 Williamsburg VA 23185-5645
Phone: (757) 221-0750
Fax: (757) 229-5168
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024166074 Virginia

Profile Details

NPI number 1548309495
LBN Legal business name Bain, Lonniel Jason
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Sep 30th, 2013 - about 11 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 1548309495 NPPES
Virginia MEDICAID 1548309495

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