Wilson, Bonita Wesley
Wilson, Bonita Wesley is an individual health care provider with primary practice located at 511 Park Hill Dr , Fredericksburg VA 22401-3377. She recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as her primary health care specialty. Wilson, Bonita Wesley can be contacted via phone (540) 371-5660.Contact Information
Primary practice address
511 Park Hill Dr
Fredericksburg VA 22401-3377
Phone: (540) 371-5660
Fax: (540) 372-6920
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 0101038231 | Virginia |
Profile Details
| NPI number | 1891785127 |
|---|---|
| LBN Legal business name | Wilson, Bonita Wesley |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Mar 24th, 2026 - about 7 months 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 | 1891785127 | NPPES |
| Virginia | Other | 002784A38 | MEDICARE PTAN |
| Virginia | Other | 4053750 | MEDICARE PTAN |
| Virginia | Other | 561249571 | MEDICARE PTAN |
| Virginia | Other | 02-00285 | MEDICARE PTAN |
| Virginia | Other | 56124971 | MEDICARE PTAN |
| Virginia | Other | 010061 | MEDICARE PTAN |
| Virginia | Other | 229825 | MEDICARE PTAN |
| Virginia | Other | 3389897 | MEDICARE PTAN |
| Virginia | Other | D17963 | MEDICARE PTAN |
| Virginia | Other | J063-0002 | MEDICARE PTAN |
| Virginia | MEDICAID | 010026610 | MEDICARE PTAN |
| Virginia | Other | 597372 | MEDICARE PTAN |
| Virginia | Other | 102827 | MEDICARE PTAN |
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