Wagner, Bonny Michelle

Wagner, Bonny Michelle is an individual health care provider with primary practice located at 663 Sunset Ln , Culpeper VA 22701-3919. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Wagner, Bonny Michelle can be contacted via phone (540) 825-5368.

Contact Information

Primary practice address
663 Sunset Ln Culpeper VA 22701-3919
Phone: (540) 825-5368
Fax: (540) 829-0937
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 0119000341 Virginia

Profile Details

NPI number 1114029204
LBN Legal business name Wagner, Bonny Michelle
Credentials OYR / CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1114029204 NPPES
Virginia Other 334575 ANTHEM BCBS
Virginia Other 7727302 ANTHEM BCBS
Virginia Other 294919 ANTHEM BCBS

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