Bontekoe, Michael T

Bontekoe, Michael T is an sole proprietor health care provider with primary practice located at 450 N Roxbury Dr Ste 400 , Beverly Hills CA 90210-4218. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Allopathic & Osteopathic Physicians / Dermatology. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Bontekoe, Michael T can be contacted via phone (243) 941-6104.

Contact Information

Primary practice address
450 N Roxbury Dr Ste 400 Beverly Hills CA 90210-4218
Phone: (243) 941-6104
Fax: (424) 394-1628
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA16231 California
Allopathic & Osteopathic Physicians / Dermatology 207N00000X PA16231 California

Profile Details

NPI number 1124120902
LBN Legal business name Bontekoe, Michael T
Credentials MS, PA-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 2nd, 2006
Last updated Nov 2nd, 2020 - about 4 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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