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BONIFACE ORTHOPAEDICS INC. NPI 1669406740


NPI Information

NPI: 1669406740
Provider Name: BONIFACE ORTHOPAEDICS, INC.
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
835 MCKAY CT
SUITE 100
BOARDMAN, OH
ZIP 44512
Phone: (330) 758-4399
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BONIFACE ORTHOPAEDICS, INC. is a specialist in Boardman, OH. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BONIFACE ORTHOPAEDICS, INC. NPI is 1669406740. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

835 MCKAY CT
SUITE 100
BOARDMAN, OH
ZIP 44512-786
Phone: (330) 758-4399
Fax: (330) 758-8995

The provider's authorized official is Raymond John Boniface .
The authorized official title is President and has the following contact phone number (330) 758-4399.

The enumeration date for this NPI number is 7/11/2006 and was last updated on 1/23/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistOH56633OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1BO0613201MEDICARE ID-TYPE UNSPECIFIEDOHIORAYMOND J. BONIFACE
20170960001MEDICARE NSCOHIO
30929142MEDICAIDOHIO
40701182MEDICAIDOHIO
5A17339MEDICARE UPINOHIO
6BO0613083MEDICARE ID-TYPE UNSPECIFIEDOHIOTHOMAS S. BONIFACE
70136801MEDICAIDOHIO
8BO0736063MEDICARE ID-TYPE UNSPECIFIEDOHIOJAMES E. BONIFACE
90701173MEDICAIDOHIO
109277071MEDICARE ID-TYPE UNSPECIFIEDOHIOBONIFACE ORTHOPAEDICS INC
11F53572MEDICARE UPINOHIO
12A82977MEDICARE UPINOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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