Holly L Bonavia in Milwaukee - Physician Assistant
Holly L Bonavia - NPI 1942219647
Holly L Bonavia is a Physician Assistant in Milwaukee, Wisconsin. Holly L Bonavia practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Holly L Bonavia is 1942219647. The last update date is 2021-11-24.
Holly L Bonavia's current location address is 3301 W Forest Home Ave, Milwaukee, Wisconsin. You can contact this provider via phone number 4146476326 and fax number 4146718860. The mailing address for Holly L Bonavia is 3301 W Forest Home Ave, Milwaukee, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Holly L Bonavia |
|---|---|
| Address | 3301 W Forest Home Ave, Milwaukee, Wisconsin |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1942219647 |
|---|---|
| Provider Enumeration Date | 2006-08-05 |
| Last Updated Date | 2021-11-24 |
Provider Mailing Address Detail
| Address | 3301 W Forest Home Ave |
|---|---|
| City | Milwaukee |
| State | Wisconsin (WI) |
| Post Code | 532152843 |
| Phone Number | 4146476326 |
| Fax Number | 4146718860 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | 3124-28 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42951300 | WI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Holly L Bonavia by the Centers for Medicare & Medicaid Services?
The Holly L Bonavia has been assigned the NPI (National Provider Identifier) 1942219647 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Holly L Bonavia is geographically located?
The Holly L Bonavia is physically situated at the following location: 3301 W Forest Home Ave, Milwaukee, WI, 532152843.
What is the area of specialization for Holly L Bonavia, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Holly L Bonavia is Physician Assistant, and the corresponding taxonomy code that categorizes this area of expertise is 363A00000X.
On what date did Holly L Bonavia receive its 1942219647 assignment from the Centers for Medicare & Medicaid Services?
The Holly L Bonavia was assigned its 1942219647 on 2006-08-05, 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 pertaining to Holly L Bonavia last refreshed?
The information related to the Holly L Bonavia, including its address, specialty, and other relevant details, was last updated on 2021-11-24.