Bonner, Donald R

Bonner, Donald R is an individual health care provider with primary practice located at 1850 Chadwick Dr , Jackson MS 39204-3404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Bonner, Donald R can be contacted via phone (601) 376-1848.

Contact Information

Primary practice address
1850 Chadwick Dr Jackson MS 39204-3404
Phone: (601) 376-1848
Fax: (601) 376-1894
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 13234 Mississippi
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 13234 Mississippi

Profile Details

NPI number 1497788178
LBN Legal business name Bonner, Donald R
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 8th, 2006
Last updated Feb 10th, 2010 - about 15 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 1497788178 NPPES
Mississippi MEDICAID 0114973

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