Davis, Bonnie Jeanne
Davis, Bonnie Jeanne is an individual health care provider with primary practice located at 800 W Valley Pkwy Ste 100 , Escondido CA 92025-2557. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Davis, Bonnie Jeanne can be contacted via phone (760) 737-2050.Contact Information
Primary practice address
800 W Valley Pkwy Ste 100
Escondido CA 92025-2557
Phone: (760) 737-2050
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | MD19801 | Hawaii |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | C159789 | California |
Profile Details
| NPI number | 1932196649 |
|---|---|
| LBN Legal business name | Davis, Bonnie Jeanne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Aug 11th, 2023 - about 3 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 | 1932196649 | NPPES |
| California | Other | C159789 | STATE MEDICAL LICENSE |
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