Bonner, Connie
Bonner, Connie is an sole proprietor health care provider with primary practice located at 300 Preston Dr , Kingwood WV 26537-1551. She recently has only one registered license in Nursing Service Providers / School, which is considered as her primary health care specialty. Bonner, Connie can be contacted via phone (304) 624-6554.Contact Information
Primary practice address
300 Preston Dr
Kingwood WV 26537-1551
Phone: (304) 624-6554
Fax: (304) 624-5223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / School | 163WS0200X | 27858 | West Virginia |
Profile Details
| NPI number | 1174794630 |
|---|---|
| LBN Legal business name | Bonner, Connie |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 12th, 2008 |
| Last updated | Mar 12th, 2008 - about 16 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 | 1174794630 | NPPES |
| West Virginia | MEDICAID | 3810000951 |
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