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
Phone: (610) 374-5599
Fax: (610) 375-1262
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1851717482 | NPPES |
Pennsylvania | MEDICAID | 1029042340001 |
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