Bostic, Debra A.

Bostic, Debra A. is an individual health care provider with primary practice located at Route 79 , Dawes, WV 25054. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bostic, Debra A. can be contacted via phone (304) 734-2040.

Contact Information

Primary practice address
Route 79 Dawes, WV 25054
Phone: (304) 734-2040
Fax: (304) 734-2047
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 47229RN West Virginia

Profile Details

NPI number 1487709655
LBN Legal business name Bostic, Debra A.
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 25th, 2007
Last updated Mar 18th, 2008 - about 18 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 1487709655 NPPES
West Virginia MEDICAID 7102056000

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