Bonfili, Marilyn Judy

Bonfili, Marilyn Judy is an individual health care provider with primary practice located at 1 Huntington Way Ste 100 , Fairmont WV 26554-8819. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bonfili, Marilyn Judy can be contacted via phone (304) 368-2422.

Contact Information

Primary practice address
1 Huntington Way Ste 100 Fairmont WV 26554-8819
Fax: (304) 368-2426
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 20406 West Virginia

Profile Details

NPI number 1699775247
LBN Legal business name Bonfili, Marilyn Judy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2005
Last updated May 25th, 2022 - about 2 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 1699775247 NPPES
West Virginia MEDICAID 1809565001
West Virginia MEDICAID 1809565000

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