DR. JENNIFER BONILLA DC NPI 1003448507

Chiropractor in El Paso, TX

Individual Female Chiropractor

About JENNIFER BONILLA

Jennifer Bonilla is a provider established in El Paso, Texas and her medical specialization is chiropractor. The NPI number of Jennifer Bonilla is 1003448507 and was assigned on February 2020. The practitioner's primary taxonomy code is 111N00000X with license number 14369 (TX). The provider is registered as an individual and her NPI record was last updated February 2020.

NPI

1003448507

Provider NameDR. JENNIFER BONILLA DC
Provider Location Address5742 N MESA ST EL PASO, TX 79912
Provider Mailing AddressPO BOX 700688 SAN ANTONIO, TX 78270
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date02-12-2020
Last Update Date02-12-2020

Primary Taxonomy

Taxonomy Code111N00000X
ClassificationChiropractor
TypeChiropractic Providers
License No.14369
License StateTX
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Business Address

DR. JENNIFER BONILLA DC
5742 N MESA ST
EL PASO, TX
ZIP 79912
Phone: (800) 404-6050

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Mailing Address

DR. JENNIFER BONILLA DC
PO BOX 700688
SAN ANTONIO, TX
ZIP 78270
Phone: (210) 318-3007
Fax: (210) 468-0682

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
14369OTHER (01)TX

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.