Bonnell, Mark R.

Bonnell, Mark R. is an individual health care provider with primary practice located at 2205 Mccallie Ave , Chattanooga TN 37404-3230. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Bonnell, Mark R. can be contacted via phone (423) 698-2435.

Contact Information

Primary practice address
2205 Mccallie Ave Chattanooga TN 37404-3230
Phone: (423) 698-2435
Fax: (423) 697-6173
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 61345 Tennessee
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 61345 Tennessee

Profile Details

NPI number 1215123450
LBN Legal business name Bonnell, Mark R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2007
Last updated Jan 31st, 2022 - about 3 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 1215123450 NPPES
Ohio MEDICAID 3015767

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