West, Bonnie Brown
West, Bonnie Brown is an individual health care provider with primary practice located at 101 E Wood St , Spartanburg SC 29303-3040. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. West, Bonnie Brown can be contacted via phone (864) 560-8160.Contact Information
Primary practice address
101 E Wood St
Spartanburg SC 29303-3040
Phone: (864) 560-8160
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | A403 | South Carolina |
Profile Details
| NPI number | 1780646000 |
|---|---|
| LBN Legal business name | West, Bonnie Brown |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2006 |
| Last updated | May 20th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780646000 | NPPES |
| South Carolina | MEDICAID | 0054PA |
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