Bonnem, Eric M

Bonnem, Eric M is an individual health care provider with primary practice located at 87 Mcgregor St Dartmouth Hitchcock - Hematology/Oncology, Manchester NH 03102. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bonnem, Eric M can be contacted via phone (603) 695-2500.

Contact Information

Primary practice address
87 Mcgregor St Dartmouth Hitchcock - Hematology/Oncology Manchester NH 03102
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 24083 West Virginia
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 9298 New Hampshire

Profile Details

NPI number 1265426035
LBN Legal business name Bonnem, Eric M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jul 6th, 2018 - about 6 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 1265426035 NPPES
West Virginia Other P01206965 RR MEDICARE
West Virginia MEDICAID 30201458 RR MEDICARE
West Virginia MEDICAID 3810018504 RR MEDICARE
West Virginia Other P00141297 RR MEDICARE

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