Baffoe-Bonnie, Anthony William

Baffoe-Bonnie, Anthony William is an individual health care provider with primary practice located at 2001 Crystal Spring Ave Sw , Roanoke VA 24014-2462. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Infectious Disease. Allopathic & Osteopathic Physicians / Infectious Disease is his primary health care specialty. Baffoe-Bonnie, Anthony William can be contacted via phone (540) 981-7715.

Contact Information

Primary practice address
2001 Crystal Spring Ave Sw Roanoke VA 24014-2462
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 11599 Nevada
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 0101252104 Virginia

Profile Details

NPI number 1386680304
LBN Legal business name Baffoe-Bonnie, Anthony William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 20th, 2006
Last updated Jun 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386680304 NPPES
Nevada MEDICAID 100509428

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