Boniske, Charles H

Boniske, Charles H is an sole proprietor health care provider with primary practice located at 5319 W Hillsdale Ave , Visalia CA 93291-5118. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Boniske, Charles H can be contacted via phone (559) 732-1648.

Contact Information

Primary practice address
5319 W Hillsdale Ave Visalia CA 93291-5118
Fax: (559) 732-0664
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G46993 California

Profile Details

NPI number 1598759615
LBN Legal business name Boniske, Charles H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2005
Last updated Feb 26th, 2008 - about 17 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 1598759615 NPPES
California MEDICAID 00G469930

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