Bonicky, Anna
Bonicky, Anna is an sole proprietor health care provider with primary practice located at 4094 Majestic Ln Suite 298, Fairfax VA 22033-2104. 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. Bonicky, Anna can be contacted via phone (703) 631-1745.Contact Information
Primary practice address
4094 Majestic Ln Suite 298
Fairfax VA 22033-2104
Phone: (703) 631-1745
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110-005620 | Virginia |
Profile Details
| NPI number | 1265979678 |
|---|---|
| LBN Legal business name | Bonicky, Anna |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 23rd, 2017 |
| Last updated | Jan 23rd, 2017 - 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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