Davis, Bonnie Jeanne

Davis, Bonnie Jeanne is an individual health care provider with primary practice located at 800 W Valley Pkwy Ste 100 , Escondido CA 92025-2557. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Bonnie Jeanne can be contacted via phone (760) 737-2050.

Contact Information

Primary practice address
800 W Valley Pkwy Ste 100 Escondido CA 92025-2557
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD19801 Hawaii
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X C159789 California

Profile Details

NPI number 1932196649
LBN Legal business name Davis, Bonnie Jeanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Aug 11th, 2023 - about 2 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 1932196649 NPPES
California Other C159789 STATE MEDICAL LICENSE

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