Johnson, Bonita D
Johnson, Bonita D is an individual health care provider with primary practice located at 241 Kelley St , Lake City SC 29560-2446. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Johnson, Bonita D can be contacted via phone (843) 394-1051.Contact Information
Primary practice address
241 Kelley St
Lake City SC 29560-2446
Phone: (843) 394-1051
Fax: (843) 394-0277
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 18176 | South Carolina |
Profile Details
NPI number | 1508202359 |
---|---|
LBN Legal business name | Johnson, Bonita D |
Credentials | Family Nurse Practitioner (FNP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 21st, 2013 |
Last updated | Jun 2nd, 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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