Bonilla, Jonathan
Bonilla, Jonathan is an individual health care provider with primary practice located at 1514 Jefferson Hwy , New Orleans LA 70121-2429. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Bonilla, Jonathan can be contacted via phone (504) 842-3724.Contact Information
Primary practice address
1514 Jefferson Hwy
New Orleans LA 70121-2429
Phone: (504) 842-3724
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | MD.204149 | Louisiana |
Profile Details
| NPI number | 1013177013 |
|---|---|
| LBN Legal business name | Bonilla, Jonathan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2008 |
| Last updated | Jan 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013177013 | NPPES |
| Mississippi | MEDICAID | 03208741 | |
| Mississippi | MEDICAID | 1105023 |
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