Bonitati, Michael J

Bonitati, Michael J is an individual health care provider with primary practice located at 825 Chalkstone Ave , Providence RI 02908-4728. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bonitati, Michael J can be contacted via phone (401) 456-6829.

Contact Information

Primary practice address
825 Chalkstone Ave Providence RI 02908-4728
Phone: (401) 456-6829
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD07667 Rhode Island

Profile Details

NPI number 1922148816
LBN Legal business name Bonitati, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
Last updated Apr 9th, 2013 - about 12 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 1922148816 NPPES
Rhode Island MEDICAID 7001165

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