Bonilla, Shawn Patrick

Bonilla, Shawn Patrick is an individual health care provider with primary practice located at 821 E Veterans Memorial Hwy , Blanchard OK 73010-9215. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Bonilla, Shawn Patrick can be contacted via phone (405) 659-5656.

Contact Information

Primary practice address
821 E Veterans Memorial Hwy Blanchard OK 73010-9215
Phone: (405) 659-5656
Fax: (405) 701-5421
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X ROO68442 Oklahoma

Profile Details

NPI number 1134213978
LBN Legal business name Bonilla, Shawn Patrick
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 3rd, 2006
Last updated Mar 24th, 2016 - about 9 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 1134213978 NPPES
Oklahoma MEDICAID 200226680A

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