Wilkerson, Bonnie

Wilkerson, Bonnie is an individual health care provider with primary practice located at 717 N 190Th Plz Ste. 1100, Elkhorn NE 68022-3913. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Wilkerson, Bonnie can be contacted via phone (402) 815-1700.

Contact Information

Primary practice address
717 N 190Th Plz Ste. 1100 Elkhorn NE 68022-3913
Phone: (402) 815-1700
Fax: (402) 815-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1631 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 1631 Nebraska
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1631 Nebraska

Profile Details

NPI number 1033481312
LBN Legal business name Wilkerson, Bonnie
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2012
Last updated Nov 17th, 2016 - about 10 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 1033481312 NPPES
Nebraska MEDICAID 47068731799
Nebraska MEDICAID 10026480100
Nebraska MEDICAID 10026301600

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