Bomar, Monica M

Bomar, Monica M is an individual health care provider with primary practice located at Po Box 456 , Bald Knob AR 72010-0456. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Bomar, Monica M can be contacted via phone (501) 724-6207.

Contact Information

Primary practice address
Po Box 456 Bald Knob AR 72010-0456
Phone: (501) 724-6207
Fax: (501) 724-3305
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X P-T1224 Arkansas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA-484 Arkansas

Profile Details

NPI number 1578819405
LBN Legal business name Bomar, Monica M
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2012
Last updated Jan 30th, 2019 - about 6 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 1578819405 NPPES
Arkansas MEDICAID 193007795

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