Bonner, Caleb Joshua

Bonner, Caleb Joshua is an sole proprietor health care provider with primary practice located at 410 E 11Th Ave , Bowling Green KY 42101-2637. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Bonner, Caleb Joshua can be contacted via phone (270) 438-3191.

Contact Information

Primary practice address
410 E 11Th Ave Bowling Green KY 42101-2637
Phone: (270) 438-3191
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 241007 Kentucky

Profile Details

NPI number 1205209582
LBN Legal business name Bonner, Caleb Joshua
Credentials LMFT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2015
Last updated Feb 2nd, 2024 - about last year

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 1205209582 NPPES
Kentucky MEDICAID 7100372080

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