Mugrage, Bonnie L

Mugrage, Bonnie L is an individual health care provider with primary practice located at 507 Mulberry Heights Rd , Pomeroy OH 45769-9573. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Mugrage, Bonnie L can be contacted via phone (740) 992-5277.

Contact Information

Primary practice address
507 Mulberry Heights Rd Pomeroy OH 45769-9573
Phone: (740) 992-5277
Fax: (740) 992-7264
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 011066 Ohio

Profile Details

NPI number 1598261711
LBN Legal business name Mugrage, Bonnie L
Credentials LCDCII
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 5th, 2018
Last updated Feb 13th, 2024 - about 9 months 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 1598261711 NPPES
Ohio MEDICAID 2864002

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