Street, Bonita

Street, Bonita is an sole proprietor health care provider with primary practice located at 309 Keystone Dr , Hopkins SC 29061-8378. He recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as his primary health care specialty. Street, Bonita can be contacted via phone (803) 237-5733.

Contact Information

Primary practice address
309 Keystone Dr Hopkins SC 29061-8378
Phone: (803) 237-5733
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X 3474 South Carolina

Profile Details

NPI number 1730540717
LBN Legal business name Street, Bonita
Credentials Physical Therapist Assistant (PTA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 2016
Last updated Mar 17th, 2016 - about 8 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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