Bonner, Everett J.

Bonner, Everett J. is an individual health care provider with primary practice located at 7373 Perkins Rd. Baton Rouge Clinic - Attn: Dee - Administration, Baton Rouge LA 70808-4326. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Bonner, Everett J. can be contacted via phone (225) 769-4044.

Contact Information

Primary practice address
7373 Perkins Rd. Baton Rouge Clinic - Attn: Dee - Administration Baton Rouge LA 70808-4326
Phone: (225) 769-4044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 054561 Georgia
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 201869 Louisiana

Profile Details

NPI number 1417033739
LBN Legal business name Bonner, Everett J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2006
Last updated Jan 27th, 2021 - about 5 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 1417033739 NPPES
Louisiana MEDICAID 1076392

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