Bonneau, Richard Charles
Bonneau, Richard Charles is an individual health care provider with primary practice located at 1290 Tavern Rd , Mammoth Lakes CA 93546-6601. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bonneau, Richard Charles can be contacted via phone (760) 924-1740.Contact Information
Primary practice address
1290 Tavern Rd
Mammoth Lakes CA 93546-6601
Phone: (760) 924-1740
Fax: (760) 924-1741
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | RASI RI-1007151243 | California |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | C055990518 | California |
Profile Details
NPI number | 1366712424 |
---|---|
LBN Legal business name | Bonneau, Richard Charles |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 6th, 2012 |
Last updated | Feb 23rd, 2022 - 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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