Bonavilla, Dennis
Bonavilla, Dennis is an sole proprietor health care provider with primary practice located at 34859 Frederick Street Suite 112, Wildomar CA 92595. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as his primary health care specialty. Bonavilla, Dennis can be contacted via phone (951) 897-0770.Contact Information
Primary practice address
34859 Frederick Street Suite 112
Wildomar CA 92595
Phone: (951) 897-0770
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
| NPI number | 1023535820 |
|---|---|
| LBN Legal business name | Bonavilla, Dennis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 23rd, 2017 |
| Last updated | Aug 23rd, 2017 - about 7 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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