Bonifant, William W
Bonifant, William W is an individual health care provider with primary practice located at 1003 Sushruta Dr , Martinsburg WV 25401. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Bonifant, William W can be contacted via phone (304) 263-3367.Contact Information
Primary practice address
1003 Sushruta Dr
Martinsburg WV 25401
Phone: (304) 263-3367
Fax: (304) 263-1634
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 2433 | West Virginia |
Profile Details
| NPI number | 1669582714 |
|---|---|
| LBN Legal business name | Bonifant, William W |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669582714 | NPPES |
| West Virginia | Other | 122370 | UNITED CONCORDIA |
| West Virginia | Other | 140437 | UNITED CONCORDIA |
| West Virginia | MEDICAID | 0136266000 | UNITED CONCORDIA |
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