Bonvillain, Dwayne Patrick

Bonvillain, Dwayne Patrick is an individual health care provider with primary practice located at 3615 Hospital St Ste B , Pascagoula MS 39581-4112. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic is his primary health care specialty. Bonvillain, Dwayne Patrick can be contacted via phone (228) 762-1602.

Contact Information

Primary practice address
3615 Hospital St Ste B Pascagoula MS 39581-4112
Phone: (228) 762-1602
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X PT4504 Mississippi
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT4504 Mississippi

Profile Details

NPI number 1538723564
LBN Legal business name Bonvillain, Dwayne Patrick
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 25th, 2019
Last updated Apr 25th, 2019 - 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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