Gail Lynn Bonofiglio in Elm Grove - Athletic Trainer

Gail Lynn Bonofiglio - NPI 1154540896

Gail Lynn Bonofiglio is a Athletic Trainer in Elm Grove, Wisconsin. Gail Lynn Bonofiglio practices all healthcare services and medical treatments related to Athletic Trainer. The NPI Number for Gail Lynn Bonofiglio is 1154540896. The last update date is 2007-07-08.

Gail Lynn Bonofiglio's current location address is 15260 Marilyn Dr, Elm Grove, Wisconsin. You can contact this provider via phone number 2627543450 and fax number 2627543451. The mailing address for Gail Lynn Bonofiglio is 15260 Marilyn Dr, Elm Grove, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Gail Lynn Bonofiglio
Address 15260 Marilyn Dr, Elm Grove, Wisconsin
Phone Number 2627543450
Fax Number 2627543451
Sole Proprietor N
Credentials LAT

NPI Number Detail

NPI Number 1154540896
Provider Enumeration Date 2007-04-24
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15260 Marilyn Dr
City Elm Grove
State Wisconsin (WI)
Post Code 531221073
Phone Number 2627543450
Fax Number 2627543451

Provider's Primary Taxonomy Detail

Speciality Athletic Trainer
Taxonomy 2255A2300X
Licence No 273-039
Definition:
Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-leve

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1891711008 WI OFFICE NPI

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FAQs about Gail Lynn Bonofiglio

What is the unique provider identifier assigned to Gail Lynn Bonofiglio?

The Gail Lynn Bonofiglio has been issued the NPI (National Provider Identifier) 1154540896 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Where is the Gail Lynn Bonofiglio located?

The Gail Lynn Bonofiglio is located at 15260 Marilyn Dr, Elm Grove, WI 531221073.

What is Gail Lynn Bonofiglio's area of expertise and its corresponding taxonomy classification?

The Gail Lynn Bonofiglio's field of specialization is Athletic Trainer, and it falls under the taxonomy code 2255A2300X, which categorizes healthcare providers based on their areas of practice.

On what date did Gail Lynn Bonofiglio receive its 1154540896 assignment from the Centers for Medicare & Medicaid Services?

The Gail Lynn Bonofiglio was assigned its 1154540896 on 2007-04-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details related to Gail Lynn Bonofiglio most recently updated or revised?

The information pertaining to Gail Lynn Bonofiglio, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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