Bonfanti, Charles Edward
Bonfanti, Charles Edward is an individual health care provider with primary practice located at 630 Paseo Del Pueblo Sur Suite 150, Taos NM 87571-6070. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bonfanti, Charles Edward can be contacted via phone (575) 758-3005.Contact Information
Primary practice address
630 Paseo Del Pueblo Sur Suite 150
Taos NM 87571-6070
Phone: (575) 758-3005
Fax: (575) 758-7010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 75-PA002 | New Mexico |
Profile Details
| NPI number | 1295792570 |
|---|---|
| LBN Legal business name | Bonfanti, Charles Edward |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 28th, 2006 |
| Last updated | Feb 3rd, 2017 - about 9 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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