Bonilla, Johanis

Bonilla, Johanis is an sole proprietor health care provider with primary practice located at 123 Metro Blvd , Nutley NJ 07110-6101. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Bonilla, Johanis can be contacted via phone (973) 275-2486.

Contact Information

Primary practice address
123 Metro Blvd Nutley NJ 07110-6101
Phone: (973) 275-2486
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X New Jersey
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X New Jersey

Profile Details

NPI number 1083329122
LBN Legal business name Bonilla, Johanis
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 23rd, 2023
Last updated Jan 23rd, 2023 - 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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