Bonta, Alyssa
Bonta, Alyssa is an individual health care provider with primary practice located at 3533 Southern Blvd Ste 2200 , Dayton OH 45429-1264. 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
3533 Southern Blvd Ste 2200
Dayton OH 45429-1264
Phone: (937) 228-4126
Fax: (937) 424-8659
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 | Aug 13th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215227004 | NPPES |
| Other | H618980 | MEDICARE | |
| MEDICAID | 0279347 | MEDICARE |
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