Bonatus, Timothy John

Bonatus, Timothy John is an individual health care provider with primary practice located at 1485 N Turquoise Dr Ste 200, Flagstaff AZ 86001-1398. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Bonatus, Timothy John can be contacted via phone (928) 774-7757.

Contact Information

Primary practice address
1485 N Turquoise Dr Ste 200 Flagstaff AZ 86001-1398
Fax: (928) 226-3071
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2691 Arizona

Profile Details

NPI number 1023089646
LBN Legal business name Bonatus, Timothy John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 31st, 2006
Last updated Apr 17th, 2019 - about 7 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 1023089646 NPPES
Arizona MEDICAID 137952

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