Bonus, Stacey M
Bonus, Stacey M is an individual health care provider with primary practice located at 125 North Franklin Drive Suite 1, Washington PA 15301. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonus, Stacey M can be contacted via phone (724) 225-6500.Contact Information
Primary practice address
125 North Franklin Drive Suite 1
Washington PA 15301
Phone: (724) 225-6500
Fax: (724) 225-8188
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | SP007882 | Pennsylvania |
Profile Details
NPI number | 1730189317 |
---|---|
LBN Legal business name | Bonus, Stacey M |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 26th, 2005 |
Last updated | Sep 14th, 2010 - about 15 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 | 1730189317 | NPPES |
Pennsylvania | Other | SP007882 | CRNP |
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