Bonner, Walter Morse

Bonner, Walter Morse is an individual health care provider with primary practice located at 890 Johnnie Dodds Blvd Suite 2A, Mt Pleasant SC 29464-6129. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Bonner, Walter Morse can be contacted via phone (843) 881-9971.

Contact Information

Primary practice address
890 Johnnie Dodds Blvd Suite 2A Mt Pleasant SC 29464-6129
Phone: (843) 881-9971
Fax: (843) 881-9973
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 3839 South Carolina

Profile Details

NPI number 1700849627
LBN Legal business name Bonner, Walter Morse
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Jul 9th, 2007 - about 18 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 1700849627 NPPES
South Carolina Other 3839 STATE MEDICAL LICENSE
South Carolina MEDICAID 038391 STATE MEDICAL LICENSE

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