Provider Demographics
NPI:1700051695
Name:REBECCA BONCHECK VMD PA
Entity Type:Organization
Organization Name:REBECCA BONCHECK VMD PA
Other - Org Name:CHESTERFIELD VETERINARY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:
Authorized Official - Last Name:BONCHECK
Authorized Official - Suffix:
Authorized Official - Credentials:VMD
Authorized Official - Phone:609-298-3888
Mailing Address - Street 1:650 US HIGHWAY 206 S
Mailing Address - Street 2:SUITE I
Mailing Address - City:BORDENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08505-1518
Mailing Address - Country:US
Mailing Address - Phone:609-298-3888
Mailing Address - Fax:609-298-1483
Practice Address - Street 1:650 US HWY 206 S
Practice Address - Street 2:SUITE I
Practice Address - City:BORDENTOWN
Practice Address - State:NJ
Practice Address - Zip Code:08505-1518
Practice Address - Country:US
Practice Address - Phone:609-298-3888
Practice Address - Fax:609-298-1483
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-23
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJVI00332800174M00000X
NJ29V100332800174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174M00000XOther Service ProvidersVeterinarianGroup - Multi-Specialty