National Provider Identifier

Jacob Matthew Bonhotal, RN

Jacob Matthew Bonhotal, RN is listed in the NPPES registry with a primary specialty of Registered Nurse in Lima, NY and a listed phone number of (585) 624-2813.

NPI 1033395314Lima, NYRegistered Nurse

Profile Overview

NPI
1033395314
Provider Type
Individual
Primary Specialty
Registered Nurse
Enumeration Date
January 16, 2008
Last Updated
January 16, 2008

Practice Location

  • 1873 Dalton RD
  • Lima, NY 14485-9568

Phone: (585) 624-2813

Specialties

  • Registered Nurse (163W00000X)
Full Record
NPI
1033395314
Entity Type
Individual
Last Name
Bonhotal
First Name
Jacob
Middle Name
Matthew
Credential
RN
Mailing Street Address
1873 Dalton RD
Mailing City
Lima
Mailing State
NY
Mailing ZIP Code
14485-9568
Mailing Country
US
Mailing Phone
(585) 624-2813
Practice Street Address
1873 Dalton RD
Practice City
Lima
Practice State
NY
Practice ZIP Code
14485-9568
Practice Country
US
Practice Phone
(585) 624-2813
Enumeration Date
January 16, 2008
Last Updated
January 16, 2008
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Registered Nurse (163W00000X)