Bonaventure, Matthew Eugene

Bonaventure, Matthew Eugene is an sole proprietor health care provider with primary practice located at 231 N Judd Pkwy Ne , Fuquay Varina NC 27526-2694. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bonaventure, Matthew Eugene can be contacted via phone (919) 235-6560.

Contact Information

Primary practice address
231 N Judd Pkwy Ne Fuquay Varina NC 27526-2694
Phone: (919) 235-6560
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 0010-13048 North Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 016546 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 0010-13048 North Carolina

Profile Details

NPI number 1104182195
LBN Legal business name Bonaventure, Matthew Eugene
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2012
Last updated Apr 15th, 2024 - about 8 months 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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