Bonanno, Carl Joseph

Bonanno, Carl Joseph is an individual health care provider with primary practice located at 11301 N 99Th Ave , Peoria AZ 85345-5466. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as his primary health care specialty. Bonanno, Carl Joseph can be contacted via phone (623) 977-9373.

Contact Information

Primary practice address
11301 N 99Th Ave Peoria AZ 85345-5466
Phone: (623) 977-9373
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant 225200000X Arizona

Profile Details

NPI number 1952068306
LBN Legal business name Bonanno, Carl Joseph
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2021
Last updated Nov 19th, 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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