Bonner, James S.

Bonner, James S. is an individual health care provider with primary practice located at 1354 Rusticview Dr , Ballwin MO 63011-4271. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Bonner, James S. can be contacted via phone (314) 691-7488.

Contact Information

Primary practice address
1354 Rusticview Dr Ballwin MO 63011-4271
Phone: (314) 691-7488
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 36152 Missouri

Profile Details

NPI number 1720065147
LBN Legal business name Bonner, James S.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Oct 26th, 2010 - about 14 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 1720065147 NPPES
Missouri MEDICAID 201585841

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