Masters, Bonny
Masters, Bonny is an sole proprietor health care provider with primary practice located at 1555 Soquel Dr , Santa Cruz CA 95065-1705. She recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as her primary health care specialty. Masters, Bonny can be contacted via phone (831) 462-7700.Contact Information
Primary practice address
1555 Soquel Dr
Santa Cruz CA 95065-1705
Phone: (831) 462-7700
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | A119159 | California |
Profile Details
NPI number | 1891068771 |
---|---|
LBN Legal business name | Masters, Bonny |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 22nd, 2012 |
Last updated | May 11th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1891068771 | NPPES |
California | Other | A119159 | LICENSE |
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