Bonner, Dianne L

Bonner, Dianne L is an individual health care provider with primary practice located at 7780 S Broadway Suite 350, Littleton CO 80122-2648. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Medical is her primary health care specialty. Bonner, Dianne L can be contacted via phone (303) 734-8650.

Contact Information

Primary practice address
7780 S Broadway Suite 350 Littleton CO 80122-2648
Phone: (303) 734-8650
Fax: (303) 734-8653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2676 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 2676 Colorado

Profile Details

NPI number 1336164201
LBN Legal business name Bonner, Dianne L
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Aug 6th, 2013 - about 11 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 1336164201 NPPES
Colorado MEDICAID 06607519

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