Bonavito Larragoite, Gina Marie

Bonavito Larragoite, Gina Marie is an individual health care provider with primary practice located at 3624 W Anthem Way Suite C 110, Anthem AZ 85086. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Bonavito Larragoite, Gina Marie can be contacted via phone (623) 551-9950.

Contact Information

Primary practice address
3624 W Anthem Way Suite C 110 Anthem AZ 85086
Fax: (623) 551-2454
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 7282 Arizona

Profile Details

NPI number 1639261308
LBN Legal business name Bonavito Larragoite, Gina Marie
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2006
Last updated Jul 8th, 2007 - about 19 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 1639261308 NPPES
Arizona Other AZ0939890 BLUE CROSS BLUE SHIELD

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