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:
Health care specialties
Specialty | Code | License # | 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 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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