Bonlie, Wayne Russsell
Bonlie, Wayne Russsell is an sole proprietor health care provider with primary practice located at 30 E Padonia Rd Suite 305, Timonium MD 21093-2345. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonlie, Wayne Russsell can be contacted via phone (410) 560-7404.Contact Information
Primary practice address
30 E Padonia Rd Suite 305
Timonium MD 21093-2345
Phone: (410) 560-7404
Fax: (443) 588-1725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | D0062606 | Maryland |
Profile Details
| NPI number | 1093770042 |
|---|---|
| LBN Legal business name | Bonlie, Wayne Russsell |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jan 26th, 2016 - about 8 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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