Marshall, Bonnie

Marshall, Bonnie is an individual health care provider with primary practice located at 121 N Wayne Ave , Wayne PA 19087-3542. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Marshall, Bonnie can be contacted via phone (610) 574-0597.

Contact Information

Primary practice address
121 N Wayne Ave Wayne PA 19087-3542
Phone: (610) 574-0597
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X PC001959 Pennsylvania

Profile Details

NPI number 1275635062
LBN Legal business name Marshall, Bonnie
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2006
Last updated Dec 28th, 2012 - about 14 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 1275635062 NPPES
Pennsylvania Other 7435476 AETNA
Pennsylvania Other 470829000 AETNA
Pennsylvania Other 2321658000 AETNA

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