| Specialty | Taxonomy Code | |
|---|---|---|
| * | Renal Dialysis | 2472R0900X |
| Nephrology | 207RN0300X | |
| Nephrology | 246ZN0300X | |
| Nurse Practitioner | 363L00000X | |
| Physician Assistant | 363A00000X |
* Indicates primary specialty
| NPI Number | 1851455224 |
| Legal business name LBN |
BONNEVILLE DIALYSIS CENTER |
| Authorized official | STEVE SUTCH - (CLINICAL ADMIN. MANAGER) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 12/20/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Not specified |
| Identifiers | 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.
There are currently no reviews for BONNEVILLE DIALYSIS CENTER