Bayless-Bonventre, Peter John

Bayless-Bonventre, Peter John is an sole proprietor health care provider with primary practice located at 41420 Stafford Ct , Indio CA 92203-4020. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Bayless-Bonventre, Peter John can be contacted via phone (205) 234-4723.

Contact Information

Primary practice address
41420 Stafford Ct Indio CA 92203-4020
Phone: (205) 234-4723
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 95179121 California

Profile Details

NPI number 1689266439
LBN Legal business name Bayless-Bonventre, Peter John
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 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 1689266439 NPPES
Alabama Other 1-076561 RN LICENSURE
Alabama Other 95179121 RN LICENSURE

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