National Provider Identifier Database

LEO M BONAVENTURA, MD – NPI #1962419085
Reproductive Endocrinology

An obstetrician/gynecologist who is capable of managing complex problems relating to reproductive endocrinology and infertility.


Contact Information

LEO M BONAVENTURA, MD
4199 GATEWAY BLVD
SUITE 2900
NEWBURGH, IN47630-8940
Phone: 812-842-4530
Fax: 812-842-4535
Website:
Specialty Taxonomy Code
* Reproductive Endocrinology 207VE0102X
Gynecology 207VG0400X

* Indicates primary specialty

NPI Profile & details for LEO M BONAVENTURA

NPI Number 1962419085
Credentials MD
Entity Individual
Enumeration date 08/02/2006
Last updated 01/25/2011 - About 15 years ago
Sole proprietor1 No
Identifiers
  • IN License #: 01022970
  • IN Other: 000000328110 ANTHEM
  • IN Other: 000000580355 ANTHEM
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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