Bonin, Marc M

Bonin, Marc M is an individual health care provider with primary practice located at 111 S Front St , Harrisburg PA 17101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bonin, Marc M can be contacted via phone (717) 988-0000.

Contact Information

Primary practice address
111 S Front St Harrisburg PA 17101
Phone: (717) 988-0000
Fax: (717) 782-5716
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X OS009340L Pennsylvania

Profile Details

NPI number 1154323723
LBN Legal business name Bonin, Marc M
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2005
Last updated Jan 16th, 2021 - about 3 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 1154323723 NPPES
Pennsylvania MEDICAID 001722501
Pennsylvania Other 66490
Pennsylvania Other 814101
Pennsylvania Other 930100738

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