Individual
JOSEPH E BONELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
615 FAIRHURST STREET, STERLING, CO 80751-0000
(970) 521-3160
Mailing address
PO BOX 7643, LOVELAND, CO 80537-0643
(971) 663-2742
(970) 667-0847
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
27063
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01276039
—
CO
01
—
220009129
RAILROAD MEDICARE
—
Enumeration date
06/03/2006
Last updated
05/08/2012
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