Bonneau, Richard Charles

Bonneau, Richard Charles is an individual health care provider with primary practice located at 1290 Tavern Rd , Mammoth Lakes CA 93546-6601. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Bonneau, Richard Charles can be contacted via phone (760) 924-1740.

Contact Information

Primary practice address
1290 Tavern Rd Mammoth Lakes CA 93546-6601
Phone: (760) 924-1740
Fax: (760) 924-1741
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X RASI RI-1007151243 California
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X C055990518 California

Profile Details

NPI number 1366712424
LBN Legal business name Bonneau, Richard Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2012
Last updated Feb 23rd, 2022 - about 4 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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