Ryan, Bonnie Bass

Ryan, Bonnie Bass is an individual health care provider with primary practice located at 2106 North Raguet Street , Nacogdoches TX 75962-4437. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Ryan, Bonnie Bass can be contacted via phone (936) 468-4008.

Contact Information

Primary practice address
2106 North Raguet Street Nacogdoches TX 75962-4437
Phone: (936) 468-4008
Fax: (936) 468-1316
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA03470 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA03470 Texas
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 03470 Texas

Profile Details

NPI number 1922035179
LBN Legal business name Ryan, Bonnie Bass
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2006
Last updated Feb 18th, 2020 - about 5 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 1922035179 NPPES
Texas Other PA03470 STATE PA LICENSE NUMBER

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