Bonack, Jared Paul

Bonack, Jared Paul is an individual health care provider with primary practice located at 3409 N Downer Ave , Milwaukee WI 53211-2934. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is his primary health care specialty. Bonack, Jared Paul can be contacted via phone (414) 229-3914.

Contact Information

Primary practice address
3409 N Downer Ave Milwaukee WI 53211-2934
Phone: (414) 229-3914
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1992373484
LBN Legal business name Bonack, Jared Paul
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2021
Last updated Jun 11th, 2021 - about 4 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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