Bonetti, Juan Miguel
Bonetti, Juan Miguel is an individual health care provider with primary practice located at 113 Liner Dr , Greenwood SC 29646-2311. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bonetti, Juan Miguel can be contacted via phone (864) 941-8170.Contact Information
Primary practice address
113 Liner Dr
Greenwood SC 29646-2311
Phone: (864) 941-8170
Fax: (864) 388-1718
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 16583 | South Carolina |
Profile Details
| NPI number | 1487657870 |
|---|---|
| LBN Legal business name | Bonetti, Juan Miguel |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Sep 18th, 2013 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487657870 | NPPES |
| South Carolina | MEDICAID | 165831 |
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