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:
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Health care specialties

SpecialtyCodeLicense #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 18 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 1871531582 NPPES
Louisiana MEDICAID 1655627

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