Bonfiglio, Susan

Bonfiglio, Susan is an individual health care provider with primary practice located at 4212 N 16Th St , Phoenix AZ 85016-5319. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Bonfiglio, Susan can be contacted via phone (602) 200-5325.

Contact Information

Primary practice address
4212 N 16Th St Phoenix AZ 85016-5319
Fax: (602) 200-5335
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 383 Colorado

Profile Details

NPI number 1427036847
LBN Legal business name Bonfiglio, Susan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 19th, 2008 - about 16 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 1427036847 NPPES
Colorado MEDICAID 97375578

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