Fung, Bonita R Y

Fung, Bonita R Y is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2664. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Pathology, which is considered as her primary health care specialty. Fung, Bonita R Y can be contacted via phone (614) 722-5315.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2664
Fax: (614) 722-3033
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Pathology 207ZP0213X 35086003F Ohio

Profile Details

NPI number 1275500662
LBN Legal business name Fung, Bonita R Y
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2006
Last updated Jan 26th, 2015 - 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 1275500662 NPPES
Ohio MEDICAID 2601107

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