Bonham, Richard David
Bonham, Richard David is an sole proprietor health care provider with primary practice located at 205 N Auburn Ave , Farmington NM 87401-8411. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bonham, Richard David can be contacted via phone (505) 564-3733.Contact Information
Primary practice address
205 N Auburn Ave
Farmington NM 87401-8411
Phone: (505) 564-3733
Fax: (505) 564-3788
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 5447 | New Mexico |
Profile Details
| NPI number | 1366641326 |
|---|---|
| LBN Legal business name | Bonham, Richard David |
| Credentials | LADAC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2007 |
| Last updated | Jul 11th, 2007 - about 18 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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