Bonn, Mary Kristine

Bonn, Mary Kristine is an individual health care provider with primary practice located at 1850 N Central Ave Suite 1600, Phoenix AZ 85004-4527. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Bonn, Mary Kristine can be contacted via phone (602) 262-8900.

Contact Information

Primary practice address
1850 N Central Ave Suite 1600 Phoenix AZ 85004-4527
Phone: (602) 262-8900
Fax: (602) 262-8890
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 44277 Arizona
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 125-0550717 Illinois

Profile Details

NPI number 1710138474
LBN Legal business name Bonn, Mary Kristine
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2008
Last updated Sep 22nd, 2011 - about 14 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 1710138474 NPPES
Arizona MEDICAID 635367

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