Wickham, Bonnie Beth

Wickham, Bonnie Beth is an individual health care provider with primary practice located at 402 W 26Th St , San Angelo TX 76903-2826. 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. Wickham, Bonnie Beth can be contacted via phone (325) 658-1511.

Contact Information

Primary practice address
402 W 26Th St San Angelo TX 76903-2826
Phone: (325) 658-1511
Fax: (325) 481-2166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04799 Texas

Profile Details

NPI number 1225058902
LBN Legal business name Wickham, Bonnie Beth
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Aug 15th, 2016 - 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.

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