Bonner, Jason Edward

Bonner, Jason Edward is an sole proprietor health care provider with primary practice located at 508 Fulton Street , Durham NC 27705. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Bonner, Jason Edward can be contacted via phone (919) 286-0411.

Contact Information

Primary practice address
508 Fulton Street Durham NC 27705
Phone: (919) 286-0411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4298 North Carolina

Profile Details

NPI number 1346597564
LBN Legal business name Bonner, Jason Edward
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 7th, 2012
Last updated Oct 22nd, 2014 - about 12 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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