Individual
MRS. BONNIE LYNN BLACKBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
10 AMALIA DR STE C5, BUCKHANNON, WV 26201-2270
(304) 460-7948
(304) 460-7908
Mailing address
1 AMALIA DR, BUCKHANNON, WV 26201-2239
(304) 473-2000
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
2411
WV
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/15/2020
Last updated
09/15/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us