Bolonesi, Bruce A.

Bolonesi, Bruce A. is an individual health care provider with primary practice located at 5131 Cottonwood St # L-2 , Murray UT 84107-5701. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bolonesi, Bruce A. can be contacted via phone (801) 263-3416.

Contact Information

Primary practice address
5131 Cottonwood St # L-2 Murray UT 84107-5701
Phone: (801) 263-3416
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 106591-1206 Utah

Profile Details

NPI number 1619928199
LBN Legal business name Bolonesi, Bruce A.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Oct 17th, 2011 - about 13 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 1619928199 NPPES
Utah Other 270286 ALTIUS

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