Bonneville, Joseph Paul

Bonneville, Joseph Paul is an individual health care provider with primary practice located at 4805 S Moorland Rd , New Berlin WI 53151-7401. 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. Bonneville, Joseph Paul can be contacted via phone (262) 798-7200.

Contact Information

Primary practice address
4805 S Moorland Rd New Berlin WI 53151-7401
Phone: (262) 798-7200
Fax: (262) 798-7201
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 793-023 Wisconsin

Profile Details

NPI number 1780632919
LBN Legal business name Bonneville, Joseph Paul
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Jan 10th, 2024 - about 2 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 1780632919 NPPES
Wisconsin MEDICAID 42955600

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