Galloway, Bonnie Lynn

Galloway, Bonnie Lynn is an individual health care provider with primary practice located at 3 Hospital Dr Suite 312, Lewisburg PA 17837-9362. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, Other Service Providers / Midwife. Other Service Providers / Midwife is her primary health care specialty. Galloway, Bonnie Lynn can be contacted via phone (570) 523-8700.

Contact Information

Primary practice address
3 Hospital Dr Suite 312 Lewisburg PA 17837-9362
Fax: (570) 523-8705
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 72000123A Indiana
Other Service Providers / Midwife 176B00000X MW010239 Pennsylvania

Profile Details

NPI number 1336120096
LBN Legal business name Galloway, Bonnie Lynn
Credentials Certified Nurse Midwife (CNM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jul 9th, 2014 - about 11 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 1336120096 NPPES
Indiana MEDICAID 200857240
Indiana MEDICAID 4088840-10
Indiana Other 000000577790

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