Bondurant, Charles P.

Bondurant, Charles P. is an individual health care provider with primary practice located at 1605 E Broadway Suite 100, Columbia MO 65201-8023. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Bondurant, Charles P. can be contacted via phone (573) 815-4242.

Contact Information

Primary practice address
1605 E Broadway Suite 100 Columbia MO 65201-8023
Fax: (573) 815-4245
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X R8J14 Missouri

Profile Details

NPI number 1174515696
LBN Legal business name Bondurant, Charles P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 19th, 2005
Last updated Jul 22nd, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174515696 NPPES
Missouri MEDICAID 206949802

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