Riley, Bonnie Jean

Riley, Bonnie Jean is an individual health care provider with primary practice located at 1061 Harmon Avenue , Fort Stewart GA 31314-5274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Riley, Bonnie Jean can be contacted via phone (912) 435-5872.

Contact Information

Primary practice address
1061 Harmon Avenue Fort Stewart GA 31314-5274
Phone: (912) 435-5872
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 103017 North Carolina

Profile Details

NPI number 1245204767
LBN Legal business name Riley, Bonnie Jean
Credentials PHYSICIAN ASSISTANT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 13th, 2006
Last updated May 26th, 2009 - about 15 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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