Mras, Bonita
Mras, Bonita is an individual health care provider with primary practice located at 150 Mundy St , Wilkes Barre PA 18702-6830. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Mras, Bonita can be contacted via phone (570) 824-0930.Contact Information
Primary practice address
150 Mundy St
Wilkes Barre PA 18702-6830
Phone: (570) 824-0930
Fax: (570) 824-7755
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | MA-001134-L | Pennsylvania |
Profile Details
| NPI number | 1538154521 |
|---|---|
| LBN Legal business name | Mras, Bonita |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2005 |
| Last updated | Nov 9th, 2016 - about 9 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 | 1538154521 | NPPES |
| Pennsylvania | Other | 019762 | BLUE CARE |
| Pennsylvania | MEDICAID | 103207018-0001 | BLUE CARE |
| Pennsylvania | Other | 50076566 | BLUE CARE |
| Pennsylvania | Other | P00120630 | BLUE CARE |
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