Bovienzo, James D

Bovienzo, James D is an individual health care provider with primary practice located at 2800 Main St St. Vincent'S Medical Center, Bridgeport CT 06606-4201. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bovienzo, James D can be contacted via phone (203) 576-5177.

Contact Information

Primary practice address
2800 Main St St. Vincent'S Medical Center Bridgeport CT 06606-4201
Phone: (203) 576-5177
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 160395 Massachusetts
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 02816 Kentucky

Profile Details

NPI number 1982641635
LBN Legal business name Bovienzo, James D
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2006
Last updated Jun 20th, 2014 - about 10 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 1982641635 NPPES
Kentucky MEDICAID 7100050090
Kentucky Other 000000569669

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