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
Phone: (304) 368-2422
Fax: (304) 368-2426
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1699775247 | NPPES |
West Virginia | MEDICAID | 1809565001 | |
West Virginia | MEDICAID | 1809565000 |
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