Edward Vincent Bonyak
Internist - Cardiovascular Disease
2410 Atherholt Rd
Lynchburg
, Virginia 24501-2148
Edward Vincent Bonyak
Internist - Cardiovascular Disease
2410 Atherholt Rd
Lynchburg
, Virginia 24501-2148
(434) 200-5252
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Edward Vincent Bonyak
- 2410 Atherholt Rd
- Lynchburg, VA
- Zip : 24501-2148
- Fax : (434) 200-5252
- Phone : (434) 200-5252
Second Address
- Edward Vincent Bonyak
- 2410 Atherholt Rd
- Lynchburg, VA
- Zip : 24501-2148
- Fax : (434) 200-5252
- Phone : (434) 200-5252
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 0101048188 | VA |
| N | 207RC0000X | Internist - Cardiovascular Disease | 20934 | WV |
National Provider Identifier
| NPI | 1003878794 |
|---|---|
| Provider Name | Edward Vincent Bonyak |
| First Address | Lynchburg, VA 24501-2148 |
| Second Address | Lynchburg, VA 24501-2148 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/04/2006 |
| Last Update Date | 01/04/2014 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000486018 | WV BLUE SHIELD (01) | |
| 000875693 | WV BLUE SHIELD - GROUP # (01) | |
| 006051120 | (05) | VA |
| 0086502000 | (05) | WV |
| 08251100000 | QUALCHOICE (01) | |
| 211032 | ANTHEM PROFESSIONAL (01) | |
| 2119629 | MAMSI PROFESSIONAL (01) | |
| 3810003817 | WV MEDICAID GROUP (01) | WV |
| 43935 | SENTARA PROFESSIONAL (01) | |
| 550941600 | MD MEDICAID GRP IN VA (01) | MD |
| 9332051 | WV MEDICARE B - GROUP # (01) | WV |
| 9332051 | WV MEDICARE GRP OLD (01) | WV |
| 9371521 | WV MEDICARE B - GROUP # (01) | WV |
| 9371521 | WV MEDICARE GRP NEW (01) | WV |
| C00085 | VA MEDICARE B - GROUP # (01) | |
| F36023 | (02) | |
| P00656327 | RAILROAD MEDICARE (01) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.