Bonfanti, Louis Jason
Bonfanti, Louis Jason is an sole proprietor health care provider with primary practice located at 109 Yorktown Dr Suite B, Alexandria LA 71303-3621. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bonfanti, Louis Jason can be contacted via phone (318) 487-9895.Contact Information
Primary practice address
109 Yorktown Dr Suite B
Alexandria LA 71303-3621
Phone: (318) 487-9895
Fax: (318) 767-3339
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1820 | Louisiana |
Profile Details
NPI number | 1871531582 |
---|---|
LBN Legal business name | Bonfanti, Louis Jason |
Credentials | Licensed Clinical Social Worker (LCSW) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 3rd, 2006 |
Last updated | Jun 27th, 2008 - about 16 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 | 1871531582 | NPPES |
Louisiana | MEDICAID | 1655627 |
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