Wood, Bonnie Lynn

Wood, Bonnie Lynn is an individual health care provider with primary practice located at 1036 E Riverside Dr , St George UT 84790-4477. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Wood, Bonnie Lynn can be contacted via phone (435) 656-0022.

Contact Information

Primary practice address
1036 E Riverside Dr St George UT 84790-4477
Phone: (435) 656-0022
Fax: (435) 634-8166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 8250781-1206 Utah

Profile Details

NPI number 1457610255
LBN Legal business name Wood, Bonnie Lynn
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2012
Last updated May 14th, 2012 - about 12 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 1457610255 NPPES
Utah Other 8750781-1206 STATE LICENSE NUMBER

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