Bonhaus, Stephanie R
Bonhaus, Stephanie R is an individual health care provider with primary practice located at 1700 Hospital South Dr Suite 500, Austell GA 30106-6810. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Bonhaus, Stephanie R can be contacted via phone (771) 941-7717.Contact Information
Primary practice address
1700 Hospital South Dr Suite 500
Austell GA 30106-6810
Phone: (771) 941-7717
Fax: (770) 948-9729
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife | 367A00000X | RN177260 | Georgia |
Profile Details
| NPI number | 1053525121 |
|---|---|
| LBN Legal business name | Bonhaus, Stephanie R |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 9th, 2007 |
| Last updated | Aug 1st, 2011 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053525121 | NPPES |
| Georgia | MEDICAID | 919525076C | |
| Georgia | MEDICAID | 919525076A | |
| Georgia | MEDICAID | 919525076B |
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