Blackburn, Bonnie Lynn

Blackburn, Bonnie Lynn is an individual health care provider with primary practice located at 10 Amalia Dr Ste C5 , Buckhannon WV 26201-2270. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Student, Health Care / Student in an Organized Health Care Education/Training Program. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Blackburn, Bonnie Lynn can be contacted via phone (304) 460-7948.

Contact Information

Primary practice address
10 Amalia Dr Ste C5 Buckhannon WV 26201-2270
Phone: (304) 460-7948
Fax: (304) 460-7908
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2411 West Virginia
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1386270908
LBN Legal business name Blackburn, Bonnie Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2020
Last updated Sep 15th, 2020 - about 4 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.

Request for update

Popular Providers