Louis B Bonita, M.D.
Individual provider Active NPI Family Medicine Physician · West Wyoming, PA
NPI 1144479296 · NPPES record last updated Sep 13, 2008
Key facts
- NPI
- 1144479296
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD0164943 (PA)
- Practice address
- 527 Shoemaker Ave
West Wyoming, PA 18644-1212 - Phone
- (570) 693-2760
- NPI assigned
- Sep 13, 2008
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD0164943 | PA | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD0164943 | PA | Yes |
Addresses
Primary practice location
527 Shoemaker Ave
West Wyoming, PA 18644-1212
Mailing address
527 Shoemaker Ave
West Wyoming, PA 18644-1212
Phone (570) 693-2760
Other names
- Dr. Louis B Bonita
Other providers in West Wyoming, PA
- Michele A Amato
- Susan Catherine Biskup
- Barbara Buxton
- Breanne Finagan
- Katye Ellyn Flynn
- James D Galdieri
- Patricia Osborne Hannon
All providers in West Wyoming, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.