Bonner, James M.

Bonner, James M. is an individual health care provider with primary practice located at 509 N Broad St , Woodbury NJ 08096-1617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bonner, James M. can be contacted via phone (856) 853-2001.

Contact Information

Primary practice address
509 N Broad St Woodbury NJ 08096-1617
Phone: (856) 853-2001
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB50408 New Jersey

Profile Details

NPI number 1235158361
LBN Legal business name Bonner, James M.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Jul 17th, 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 1235158361 NPPES
New Jersey Other 0230557000 AMERIHEALTH
New Jersey Other 1079529 AMERIHEALTH
New Jersey MEDICAID 2013100 AMERIHEALTH

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