Bonnin, Irvin R

Bonnin, Irvin R is an sole proprietor health care provider with primary practice located at 991 W Hudson Blvd , Gastonia NC 28052-6430. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecology, which is considered as his primary health care specialty. Bonnin, Irvin R can be contacted via phone (704) 853-5000.

Contact Information

Primary practice address
991 W Hudson Blvd Gastonia NC 28052-6430
Phone: (704) 853-5000
Fax: (704) 862-6194
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X 19045 North Carolina

Profile Details

NPI number 1013013226
LBN Legal business name Bonnin, Irvin R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2006
Last updated Feb 10th, 2011 - about 15 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 1013013226 NPPES
North Carolina Other 19045 LISCENCE #
North Carolina MEDICAID 8916437 LISCENCE #

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