Bonfessuto, Julia

Bonfessuto, Julia is an individual health care provider with primary practice located at 161 Waterdam Rd Apt 120 , Canonsburg PA 15317-2572. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Bonfessuto, Julia can be contacted via phone (412) 359-8900.

Contact Information

Primary practice address
161 Waterdam Rd Apt 120 Canonsburg PA 15317-2572
Phone: (412) 359-8900
Fax: (412) 359-8977
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA061321 Pennsylvania

Profile Details

NPI number 1194363465
LBN Legal business name Bonfessuto, Julia
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 17th, 2019
Last updated Jul 3rd, 2024 - about last year

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 1194363465 NPPES
Pennsylvania MEDICAID 103742613
Pennsylvania Other 15717611

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