Patrick, Bonnie Renee

Patrick, Bonnie Renee is an sole proprietor health care provider with primary practice located at 55 Township Road 508 E , South Point OH 45680-7276. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Patrick, Bonnie Renee can be contacted via phone (740) 377-2712.

Contact Information

Primary practice address
55 Township Road 508 E South Point OH 45680-7276
Phone: (740) 377-2712
Fax: (740) 377-2588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3009364 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 019848 Ohio

Profile Details

NPI number 1386026557
LBN Legal business name Patrick, Bonnie Renee
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 24th, 2015
Last updated Sep 22nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1386026557 NPPES
Ohio MEDICAID 0136069
Ohio MEDICAID 7100354810
Ohio MEDICAID 3810029959

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