Bonneville, Jeffrey

Bonneville, Jeffrey is an individual health care provider with primary practice located at 150 S Huntington Ave , Boston MA 02130-4817. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist is his primary health care specialty. Bonneville, Jeffrey can be contacted via phone (857) 364-6962.

Contact Information

Primary practice address
150 S Huntington Ave Boston MA 02130-4817
Phone: (857) 364-6962
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthotist 222Z00000X OH000281 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X PO000194 Pennsylvania
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X 211.000165 Illinois

Profile Details

NPI number 1366973463
LBN Legal business name Bonneville, Jeffrey
Credentials DMSC MS LPO
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2017
Last updated Mar 21st, 2017 - about 7 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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