Bonkovsky, Herbert L
Bonkovsky, Herbert L is an individual health care provider with primary practice located at 1 Medical Center Dr , Winston Salem NC 27157-0001. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Bonkovsky, Herbert L can be contacted via phone (336) 713-7306.Contact Information
Primary practice address
1 Medical Center Dr
Winston Salem NC 27157-0001
Phone: (336) 713-7306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 037512 | Connecticut |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 2008-00082 | North Carolina |
Profile Details
| NPI number | 1821093592 |
|---|---|
| LBN Legal business name | Bonkovsky, Herbert L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 17th, 2005 |
| Last updated | Dec 10th, 2014 - about 11 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 | 1821093592 | NPPES |
| North Carolina | MEDICAID | 5909228 | |
| North Carolina | MEDICAID | 1821093592 | |
| North Carolina | MEDICAID | N0008A |
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