Bonner, Ernest Lincoln

Bonner, Ernest Lincoln is an individual health care provider with primary practice located at 1406 Park St Suite 400, Alameda CA 94501-4560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bonner, Ernest Lincoln can be contacted via phone (810) 864-9600.

Contact Information

Primary practice address
1406 Park St Suite 400 Alameda CA 94501-4560
Fax: (510) 864-9690
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A30477 California

Profile Details

NPI number 1992785703
LBN Legal business name Bonner, Ernest Lincoln
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 18th, 2006
Last updated Jul 8th, 2007 - about 17 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 1992785703 NPPES
California MEDICAID 00A304771

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