Huckaby, Bonnie Schultz

Huckaby, Bonnie Schultz is an sole proprietor health care provider with primary practice located at 1971 E 4Th St Ste 200 , Santa Ana CA 92705-3917. 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. Huckaby, Bonnie Schultz can be contacted via phone (888) 959-5192.

Contact Information

Primary practice address
1971 E 4Th St Ste 200 Santa Ana CA 92705-3917
Phone: (888) 959-5192
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA04247 Texas

Profile Details

NPI number 1932109204
LBN Legal business name Huckaby, Bonnie Schultz
Credentials MPAS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 28th, 2005
Last updated Sep 29th, 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 1932109204 NPPES
Texas MEDICAID 328451501

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