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Contact Information

MICHAEL P BONNET, PAC
80 B VETERANS BLVD
I-40, EXIT 102
ACOMA, NM87034
 Phone: 505-552-5300
 Fax: 505-552-5828
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for MICHAEL P BONNET · (Male)

NPI Number 1437292646
Status Active
Credentials PAC
Entity Individual
Enumeration date 02/15/2007
Last updated 02/09/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CO License # 2774
  • NM Medicaid H3451
Hospital affiliation(s) Not Available
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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