Straka, Bonnie Foster
Straka, Bonnie Foster is an sole proprietor health care provider with primary practice located at 3350 Berkmar Drive , Charlottesville VA 22901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Straka, Bonnie Foster can be contacted via phone (434) 923-4651.Contact Information
Primary practice address
3350 Berkmar Drive
Charlottesville VA 22901
Phone: (434) 923-4651
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 0101042830 | Virginia |
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 0101042830 | Virginia |
Profile Details
| NPI number | 1477514834 |
|---|---|
| LBN Legal business name | Straka, Bonnie Foster |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 28th, 2006 |
| Last updated | Jan 21st, 2015 - 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 | 1477514834 | NPPES |
| Virginia | Other | 070015381 | MEDICARE RAILROAD |
| Virginia | Other | 700215299 | MEDICARE RAILROAD |
| Virginia | Other | 140449 | MEDICARE RAILROAD |
| Virginia | Other | 26982700001 | MEDICARE RAILROAD |
| Virginia | Other | 005900310 | MEDICARE RAILROAD |
| Virginia | MEDICAID | 005900310 | MEDICARE RAILROAD |
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