Bohnenberger, Robert Walter
Bohnenberger, Robert Walter is an individual health care provider with primary practice located at 355 Bard Ave , Staten Island NY 10310-1664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bohnenberger, Robert Walter can be contacted via phone (718) 818-3298.Contact Information
Primary practice address
355 Bard Ave
Staten Island NY 10310-1664
Phone: (718) 818-3298
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 169720 | New York |
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 169720 | New York |
Profile Details
NPI number | 1043280456 |
---|---|
LBN Legal business name | Bohnenberger, Robert Walter |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 26th, 2006 |
Last updated | Jul 13th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043280456 | NPPES |
New York | MEDICAID | 01067289 |
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