Bonchuk, Amber Jean

Bonchuk, Amber Jean is an individual health care provider with primary practice located at 55 Main St Suite 270, Norwich CT 06360-5760. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Bonchuk, Amber Jean can be contacted via phone (860) 885-6054.

Contact Information

Primary practice address
55 Main St Suite 270 Norwich CT 06360-5760
Phone: (860) 885-6054
Fax: (860) 885-6062
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1619248093
LBN Legal business name Bonchuk, Amber Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2012
Last updated Mar 1st, 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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