Bonacci, Jeffrey Anothony

Bonacci, Jeffrey Anothony is an individual health care provider with primary practice located at 1696 N Stardust Ln , Fayetteville AR 72701-2883. He recently has only one registered license in Student, Health Care / Student in an Organized Health Care Education/Training Program, which is considered as his primary health care specialty. Bonacci, Jeffrey Anothony can be contacted via phone (479) 575-4112.

Contact Information

Primary practice address
1696 N Stardust Ln Fayetteville AR 72701-2883
Phone: (479) 575-4112
Fax: (479) 575-5778
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X AT 267 Arkansas

Profile Details

NPI number 1043368335
LBN Legal business name Bonacci, Jeffrey Anothony
Credentials DA, ATC
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2007
Last updated Jul 8th, 2007 - about 17 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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