Bonilla, Jacob

Bonilla, Jacob is an sole proprietor health care provider with primary practice located at 1608 S. Kings Hwy , Douglas AZ 85607. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bonilla, Jacob can be contacted via phone (520) 805-8162.

Contact Information

Primary practice address
1608 S. Kings Hwy Douglas AZ 85607
Phone: (520) 805-8162
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1417300096
LBN Legal business name Bonilla, Jacob
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2016
Last updated Mar 21st, 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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