Bonner, Shanda

Bonner, Shanda is an individual health care provider with primary practice located at 1504 Park Way Dr , Saint Louis MO 63130-1245. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Bonner, Shanda can be contacted via phone (314) 449-4946.

Contact Information

Primary practice address
1504 Park Way Dr Saint Louis MO 63130-1245
Phone: (314) 449-4946
Fax: (314) 449-4946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X

Profile Details

NPI number 1609207893
LBN Legal business name Bonner, Shanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2013
Last updated Dec 12th, 2013 - about 11 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.

Request for update

Popular Providers