Bonsall, Richard Paul
Bonsall, Richard Paul is an individual health care provider with primary practice located at 1900 S Hawthorne Rd , Winston Salem NC 27103-3913. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bonsall, Richard Paul can be contacted via phone (336) 970-5300.Contact Information
Primary practice address
1900 S Hawthorne Rd
Winston Salem NC 27103-3913
Phone: (336) 970-5300
Fax: (336) 970-5298
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 200900166 | North Carolina |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 036.119872 | Illinois |
| Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology | 2085R0204X | 200900166 | North Carolina |
Profile Details
| NPI number | 1851489694 |
|---|---|
| LBN Legal business name | Bonsall, Richard Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Oct 4th, 2016 - about 10 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 | 1851489694 | NPPES |
| North Carolina | MEDICAID | 5912220 |
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