Bonasso, Samuel

Bonasso, Samuel is an sole proprietor health care provider with primary practice located at 200 Association Dr Ste 130 , Charleston WV 25311-1277. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Bonasso, Samuel can be contacted via phone (304) 988-4200.

Contact Information

Primary practice address
200 Association Dr Ste 130 Charleston WV 25311-1277
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1417655861
LBN Legal business name Bonasso, Samuel
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2023
Last updated Feb 15th, 2023 - about 2 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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