Bonvicino, Amanda Michelle

Bonvicino, Amanda Michelle is an individual health care provider with primary practice located at 1500 Park Central Dr , Highlands Ranch CO 80129-6688. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Cytopathology is her primary health care specialty. Bonvicino, Amanda Michelle can be contacted via phone (720) 848-0000.

Contact Information

Primary practice address
1500 Park Central Dr Highlands Ranch CO 80129-6688
Phone: (720) 848-0000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X CDRH.0056687 Colorado
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X M8544 Texas

Profile Details

NPI number 1861685067
LBN Legal business name Bonvicino, Amanda Michelle
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2007
Last updated Mar 24th, 2021 - about 3 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 1861685067 NPPES
Colorado Other DR0056687 MEDICAL LICENSE

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