Bonofiglio, Gail Lynn

Bonofiglio, Gail Lynn is an individual health care provider with primary practice located at 13825 W Burleigh Rd , Brookfield WI 53005-3058. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Bonofiglio, Gail Lynn can be contacted via phone (262) 754-3450.

Contact Information

Primary practice address
13825 W Burleigh Rd Brookfield WI 53005-3058
Phone: (262) 754-3450
Fax: (262) 754-3451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 273-039 Wisconsin

Profile Details

NPI number 1154540896
LBN Legal business name Bonofiglio, Gail Lynn
Credentials Licensed Athletic Trainer (LAT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 24th, 2007
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 1154540896 NPPES
Wisconsin Other 1891711008 OFFICE NPI

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