Bonnheim, David Carlton

Bonnheim, David Carlton is an sole proprietor health care provider with primary practice located at 862 Meinecke Ave Suite 202, San Luis Obispo CA 93405-1721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Bonnheim, David Carlton can be contacted via phone (805) 544-1811.

Contact Information

Primary practice address
862 Meinecke Ave Suite 202 San Luis Obispo CA 93405-1721
Phone: (805) 544-1811
Fax: (805) 544-0637
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X A42519 California
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X A42519 California

Profile Details

NPI number 1558441436
LBN Legal business name Bonnheim, David Carlton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 8th, 2007 - about 18 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 1558441436 NPPES
California MEDICAID 00A425190

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