Bonvillian, Gregory

Bonvillian, Gregory is an individual health care provider with primary practice located at 350 Main St , Baker LA 70714-3767. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Bonvillian, Gregory can be contacted via phone (225) 778-6783.

Contact Information

Primary practice address
350 Main St Baker LA 70714-3767
Fax: (225) 612-6602
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Louisiana

Profile Details

NPI number 1174037832
LBN Legal business name Bonvillian, Gregory
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2017
Last updated Jun 16th, 2018 - 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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