Individual
DR. JEFFREY BONNEVILLE
Active
Individual
DR. JEFFREY BONNEVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMSC MS L/CPO
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
OH000281
PA
222Z00000X
Orthotist
Primary
ORT394
FL
224P00000X
Prosthetist
211.000165
IL
224P00000X
Prosthetist
221-000165
IL
224P00000X
Prosthetist
PO000194
PA
Other
Enumeration date
03/21/2017
Last updated
08/24/2026
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