Bonner, Jacob Andrew

Bonner, Jacob Andrew is an individual health care provider with primary practice located at 201 N Collegiate Dr #900, Paris TX 75460-1494. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bonner, Jacob Andrew can be contacted via phone (515) 447-5256.

Contact Information

Primary practice address
201 N Collegiate Dr #900 Paris TX 75460-1494
Phone: (515) 447-5256
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 06956 Iowa
Chiropractic Providers / Chiropractor 111N00000X 11474 Texas

Profile Details

NPI number 1164555009
LBN Legal business name Bonner, Jacob Andrew
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Jul 7th, 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 1164555009 NPPES
Iowa Other 06956 LICENSE NUMBER
Iowa Other 11474 LICENSE NUMBER

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