Boni, Dino R

Boni, Dino R is an sole proprietor health care provider with primary practice located at 1953 Brush Run Rd , Avella PA 15312-2004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Boni, Dino R can be contacted via phone (304) 233-9314.

Contact Information

Primary practice address
1953 Brush Run Rd Avella PA 15312-2004
Fax: (304) 233-0265
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 12108 West Virginia

Profile Details

NPI number 1710983192
LBN Legal business name Boni, Dino R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 22nd, 2005
Last updated May 12th, 2008 - about 17 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710983192 NPPES
West Virginia MEDICAID 3002778000

Popular Providers