Dr. Jeffrey Bonneville
Podiatrist Prosthetist
150 S Huntington Ave
Boston
, Massachusetts 02130-4817
Dr. Jeffrey Bonneville
Podiatrist Prosthetist
150 S Huntington Ave
Boston
, Massachusetts 02130-4817
(857) 364-6962
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About
Features
Specialties
- Podiatrist
- Prosthetist
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Bonneville
- 150 S Huntington Ave
- Boston, MA
- Zip : 02130-4817
- Phone : (857) 364-6962
Second Address
- Dr. Jeffrey Bonneville
- 150 S Huntington Ave
- Boston, MA
- Zip : 02130-4817
- Phone : (857) 364-6962
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Is Dr. Jeffrey Bonneville a sole practitioner?
Is Dr. Jeffrey Bonneville accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213E00000X | Podiatrist | OH000281 | PA |
| Y | 222Z00000X | Podiatrist | OH000281 | PA |
| N | 224P00000X | Prosthetist | 211.000165 | IL |
| N | 224P00000X | Prosthetist | PO000194 | PA |
National Provider Identifier
| NPI | 1366973463 |
|---|---|
| Provider Name | Dr. Jeffrey Bonneville |
| First Address | Boston, MA 02130-4817 |
| Second Address | Boston, MA 02130-4817 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 21/03/2017 |
| Last Update Date | 21/03/2017 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.