Bonafield, Cynthia Leah
Bonafield, Cynthia Leah is an individual health care provider with primary practice located at 907 Gaston Ave , Fairmont WV 26554. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Bonafield, Cynthia Leah can be contacted via phone (304) 363-2008.Contact Information
Primary practice address
907 Gaston Ave
Fairmont WV 26554
Phone: (304) 363-2008
Fax: (304) 363-2109
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 3060 | West Virginia |
Profile Details
| NPI number | 1790842599 |
|---|---|
| LBN Legal business name | Bonafield, Cynthia Leah |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1790842599 | NPPES |
| West Virginia | MEDICAID | 0137742000 |
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