Mancia, Bonita M
Mancia, Bonita M is an individual health care provider with primary practice located at 440 Pierce St , Kingston PA 18704-5500. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Mancia, Bonita M can be contacted via phone (570) 288-6521.Contact Information
Primary practice address
440 Pierce St
Kingston PA 18704-5500
Phone: (570) 288-6521
Fax: (570) 288-8284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD022345E | Pennsylvania |
Profile Details
| NPI number | 1538136221 |
|---|---|
| LBN Legal business name | Mancia, Bonita M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Jan 10th, 2012 - about 12 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 | 1538136221 | NPPES |
| Pennsylvania | Other | 000084470 | HIGHMARK |
| Pennsylvania | MEDICAID | 001398160-0003 | HIGHMARK |
| Pennsylvania | Other | 824196 | HIGHMARK |
| Pennsylvania | Other | 000000266747 | HIGHMARK |
| Pennsylvania | MEDICAID | 0013981600001 | HIGHMARK |
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