Bonazinga, Bartholomew J

Bonazinga, Bartholomew J is an sole proprietor health care provider with primary practice located at 12 Commons St , Rutland VT 05701. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Bonazinga, Bartholomew J can be contacted via phone (802) 747-3600.

Contact Information

Primary practice address
12 Commons St Rutland VT 05701
Phone: (802) 747-3600
Fax: (802) 773-8501
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 042-0006395 Vermont
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 042-0006395 Vermont

Profile Details

NPI number 1013082098
LBN Legal business name Bonazinga, Bartholomew J
Credentials M.D., F.A.C.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 22nd, 2006
Last updated Jan 16th, 2019 - about 6 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 1013082098 NPPES
Vermont MEDICAID 0009657
Vermont Other 926404
Vermont Other 00005223
Vermont Other INTE00048942

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