Bonacum, Julia T
Bonacum, Julia T is an individual health care provider with primary practice located at 301 Saint Paul Pl 11Th Floor, Baltimore MD 21202-2102. She recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as her primary health care specialty. Bonacum, Julia T can be contacted via phone (410) 332-9573.Contact Information
Primary practice address
301 Saint Paul Pl 11Th Floor
Baltimore MD 21202-2102
Phone: (410) 332-9573
Fax: (410) 238-5598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | D0050236 | Maryland |
Profile Details
| NPI number | 1568403871 |
|---|---|
| LBN Legal business name | Bonacum, Julia T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 9th, 2006 |
| Last updated | Jun 9th, 2010 - about 15 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 | 1568403871 | NPPES |
| Maryland | Other | S185 / 0001 | BLUECHOICE |
| Maryland | MEDICAID | 024700600 | BLUECHOICE |
| Maryland | Other | KX 46 ST / 547804-04 | BLUECHOICE |
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