Bonta, Alyssa

Bonta, Alyssa is an individual health care provider with primary practice located at 1 Elizabeth Pl Ste 10A , Dayton OH 45417. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Bonta, Alyssa can be contacted via phone (937) 228-4126.

Contact Information

Primary practice address
1 Elizabeth Pl Ste 10A Dayton OH 45417
Phone: (937) 228-4126
Fax: (937) 228-0247
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 35.122523 Ohio
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 35.122523 Ohio

Profile Details

NPI number 1215227004
LBN Legal business name Bonta, Alyssa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2011
Last updated Nov 20th, 2020 - about 5 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 1215227004 NPPES
Other H618980 MEDICARE
MEDICAID 0279347 MEDICARE

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