Buonocore, John Anthony
Buonocore, John Anthony is an individual health care provider with primary practice located at 3005 E State Blvd , Fort Wayne IN 46805-4736. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Buonocore, John Anthony can be contacted via phone (260) 267-9498.Contact Information
Primary practice address
3005 E State Blvd
Fort Wayne IN 46805-4736
Phone: (260) 267-9498
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 182693 | New York |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 5101020847 | Michigan |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 182693 | New York |
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 3411255 | Ohio |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 02004457A | Indiana |
Profile Details
| NPI number | 1992801492 |
|---|---|
| LBN Legal business name | Buonocore, John Anthony |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Apr 1st, 2024 - about 7 months 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1992801492 | NPPES |
| Michigan | MEDICAID | 1992801492 | |
| Michigan | MEDICAID | 0103569 |
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