Bonds, Staci L

Bonds, Staci L is an individual health care provider with primary practice located at 400 N 9Th St , Springfield IL 62702-5310. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bonds, Staci L can be contacted via phone (217) 545-8000.

Contact Information

Primary practice address
400 N 9Th St Springfield IL 62702-5310
Phone: (217) 545-8000
Fax: (217) 545-6041
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 20913193 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 277.001908 Illinois

Profile Details

NPI number 1801265418
LBN Legal business name Bonds, Staci L
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2015
Last updated Jun 9th, 2022 - about 4 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 1801265418 NPPES
Illinois Other 209-013193 STATE LICENSE

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