Bonham, Don

Bonham, Don is an individual health care provider with primary practice located at 11050 Mount Belvedere Blvd Usa Meddac - Credentials, Fort Drum NY 13602-5438. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Bonham, Don can be contacted via phone (315) 772-4025.

Contact Information

Primary practice address
11050 Mount Belvedere Blvd Usa Meddac - Credentials Fort Drum NY 13602-5438
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 11769 New York
Behavioral Health & Social Service Providers / Social Worker 104100000X 055937 New York

Profile Details

NPI number 1326029489
LBN Legal business name Bonham, Don
Credentials LMSW, CASAC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jul 8th, 2007 - about 17 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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