Bonetto, Anthony J
Bonetto, Anthony J is an individual health care provider with primary practice located at 380 W Chestnut St Ste 101 , Washington PA 15301-4658. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bonetto, Anthony J can be contacted via phone (724) 228-1414.Contact Information
Primary practice address
380 W Chestnut St Ste 101
Washington PA 15301-4658
Phone: (724) 228-1414
Fax: (724) 228-8579
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | MA055072 | Pennsylvania |
Profile Details
NPI number | 1467706309 |
---|---|
LBN Legal business name | Bonetto, Anthony J |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 30th, 2012 |
Last updated | Sep 30th, 2020 - about 4 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 | 1467706309 | NPPES |
Pennsylvania | MEDICAID | 103280143 |
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