Bonsall, Matthew R

Bonsall, Matthew R is an individual health care provider with primary practice located at 985 Berkshire Blvd Suite 101, Wyomissing PA 19610-1268. He recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as his primary health care specialty. Bonsall, Matthew R can be contacted via phone (610) 374-5599.

Contact Information

Primary practice address
985 Berkshire Blvd Suite 101 Wyomissing PA 19610-1268
Fax: (610) 375-1262
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AT006331 Pennsylvania

Profile Details

NPI number 1851717482
LBN Legal business name Bonsall, Matthew R
Credentials AUD.
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2014
Last updated Mar 14th, 2023 - about 2 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 1851717482 NPPES
Pennsylvania MEDICAID 1029042340001

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