Bonner, Jacob

Bonner, Jacob is an individual health care provider with primary practice located at 13377 Smith Rd , Cleveland OH 44130-7810. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Bonner, Jacob can be contacted via phone (440) 340-5558.

Contact Information

Primary practice address
13377 Smith Rd Cleveland OH 44130-7810
Phone: (440) 340-5558
Fax: (440) 340-5575
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Ohio
Other Service Providers / Peer Specialist 175T00000X 0002342 Ohio

Profile Details

NPI number 1104588789
LBN Legal business name Bonner, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2021
Last updated Oct 11th, 2021 - about 4 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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