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:
Health care specialties
Specialty | Code | License # | 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 6 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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