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DR. JEFFREY ANOTHONY BONACCI DA, ATC
NPI 1043368335
Student in an Organized Health Care Education/Training Program in Fayetteville, AR

Active since January 05, 2007
1696 N STARDUST LN, FAYETTEVILLE, AR 72701(479) 575-4112(479) 575-5778 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jeffrey Anothony Bonacci Da, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JEFFREY ANOTHONY BONACCI DA, ATC (NPI 1043368335) is an individual student in an organized health care education/training program in Fayetteville, Arkansas, licensed in Arkansas (AT 267) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1043368335
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. JEFFREY ANOTHONY BONACCICredential: DA, ATC
Location Address1696 N STARDUST LNFayetteville, AR 72701-2883
Mailing Address1696 N Stardust LnFayetteville, AR 72701-2883 · (479) 575-4112 · Fax (479) 575-5778
Phone(479) 575-4112
Fax(479) 575-5778
Sole ProprietorNo
Enumeration DateJanuary 5, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1043368335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in AR · AT 267
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1696 N STARDUST LN, Fayetteville, AR 72701
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeffrey Bonacci's NPI number?

The NPI number for Jeffrey Bonacci is 1043368335. It was assigned to this individual provider in the NPPES registry on January 5, 2007.

Where is Jeffrey Bonacci located?

Jeffrey Bonacci practices at 1696 N Stardust Ln, Fayetteville, AR 72701. The listed phone number is (479) 575-4112.

What is Jeffrey Bonacci's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jeffrey Bonacci was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.