NPI 1003280512

The Bonin Clinic LLC

Organisation Primary Care Clinic/Center Zachary, LA

Practice location

Address: 1215 Independence Blvd 1a, Zachary, LA 70791-7390
Phone: (225) 570-2010
Fax: (225) 570-8573

Authorised official

Name: Otto Joseph Bonin
Title: Owner
Phone: (225) 570-2010

Registered specialties (2)

Primary Care Clinic/Center Primary

Ambulatory Health Care Facilities Taxonomy 261QP2300X Licence AP04429 (LA)

Other Clinic/Center providers in Louisiana →

Primary Care Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LP2300X

Other Nurse Practitioner providers in Louisiana →

Registry record

NPI: 1003280512
Entity type: Organization
NPI issued: 20 Nov 2015
Record last updated: 8 Jul 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.