Bonner, Timothy Charles

Bonner, Timothy Charles is an individual health care provider with primary practice located at 1542 Golf Course Rd Suite 201, Grand Rapids MN 55744-9603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Bonner, Timothy Charles can be contacted via phone (218) 326-3433.

Contact Information

Primary practice address
1542 Golf Course Rd Suite 201 Grand Rapids MN 55744-9603
Phone: (218) 326-3433
Fax: (218) 326-3435
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 27813 Minnesota

Profile Details

NPI number 1366498784
LBN Legal business name Bonner, Timothy Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated May 19th, 2015 - about 10 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 1366498784 NPPES
Minnesota MEDICAID 225067500
Minnesota Other 27813

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