Bonifas, Amy M

Bonifas, Amy M is an individual health care provider with primary practice located at 6000 Earle Brown Dr , Brooklyn Center MN 55430-2506. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Bonifas, Amy M can be contacted via phone (952) 993-4900.

Contact Information

Primary practice address
6000 Earle Brown Dr Brooklyn Center MN 55430-2506
Phone: (952) 993-4900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 41580 Minnesota

Profile Details

NPI number 1700863933
LBN Legal business name Bonifas, Amy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 29th, 2005
Last updated Mar 8th, 2016 - about 8 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 1700863933 NPPES
Minnesota MEDICAID 548015900

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