Bonita Mras is a Medical in Wilkes Barre, Pennsylvania. Bonita Mras practices all healthcare services and medical treatments related to Medical. The NPI Number for Bonita Mras is 1538154521. The last update date is 2016-11-09.
Bonita Mras's current location address is 150 Mundy St, Wilkes Barre, Pennsylvania. You can contact this provider via phone number 5708240930 and fax number 5708247755. The mailing address for Bonita Mras is 150 Mundy St, Wilkes Barre, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bonita Mras |
|---|---|
| Address | 150 Mundy St, Wilkes Barre, Pennsylvania |
| Phone Number | 5708240930 |
| Fax Number | 5708247755 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1538154521 |
|---|---|
| Provider Enumeration Date | 2005-09-15 |
| Last Updated Date | 2016-11-09 |
Provider Mailing Address Detail
| Address | 150 Mundy St |
|---|---|
| City | Wilkes Barre |
| State | Pennsylvania (PA) |
| Post Code | 187026830 |
| Phone Number | 5708240930 |
| Fax Number | 5708247755 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | MA-001134-L |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 19762 | PA | BLUE CARE | |
| 103207018-0001 | PA | -- | |
| 50076566 | PA | CAPITAL BLUE CROSS | |
| P00120630 | PA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the Bonita Mras's unique identification number?
The Bonita Mras has been assigned the NPI (National Provider Identifier) Number 1538154521 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Bonita Mras is geographically located?
The Bonita Mras is physically situated at the following location: 150 Mundy St, Wilkes Barre, PA, 187026830.
What is Bonita Mras's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bonita Mras is Medical, and the taxonomy classification code that categorizes this area of expertise is 363Am0700X.
On what date did Bonita Mras receive its 1538154521 assignment from the Centers for Medicare & Medicaid Services?
The Bonita Mras was assigned its 1538154521 on 2005-09-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Bonita Mras, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Bonita Mras, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-11-09.