Bonta, Alyssa
Bonta, Alyssa is an individual health care provider with primary practice located at 1 Elizabeth Pl Ste 10A , Dayton OH 45417. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is her primary health care specialty. Bonta, Alyssa can be contacted via phone (937) 228-4126.Contact Information
Primary practice address
1 Elizabeth Pl Ste 10A
Dayton OH 45417
Phone: (937) 228-4126
Fax: (937) 228-0247
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 35.122523 | Ohio |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 35.122523 | Ohio |
Profile Details
| NPI number | 1215227004 |
|---|---|
| LBN Legal business name | Bonta, Alyssa |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2011 |
| Last updated | Nov 20th, 2020 - about 6 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 | 1215227004 | NPPES |
| Other | H618980 | MEDICARE | |
| MEDICAID | 0279347 | MEDICARE |
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