Bonanno, Charles F

Bonanno, Charles F is an individual health care provider with primary practice located at 357 Midland Ave , Garfield NJ 07026-1654. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bonanno, Charles F can be contacted via phone (973) 546-4400.

Contact Information

Primary practice address
357 Midland Ave Garfield NJ 07026-1654
Phone: (973) 546-4400
Fax: (973) 546-5459
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X MC03621 New Jersey

Profile Details

NPI number 1700942356
LBN Legal business name Bonanno, Charles F
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated Jan 7th, 2013 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700942356 NPPES
New Jersey Other 22-3570988 TAX ID

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