Bonner, William James
Bonner, William James is an sole proprietor health care provider with primary practice located at 4960 Sw 72Nd Ave Ste 408 , Miami FL 33155-5506. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Bonner, William James can be contacted via phone (786) 522-4959.Contact Information
Primary practice address
4960 Sw 72Nd Ave Ste 408
Miami FL 33155-5506
Phone: (786) 522-4959
Fax: (786) 522-4959
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | ME129977 | Florida |
Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | MD450453 | Pennsylvania |
Allopathic & Osteopathic Physicians / Pain Medicine | 2081P2900X | ME129977 | Florida |
Profile Details
NPI number | 1487919759 |
---|---|
LBN Legal business name | Bonner, William James |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 11th, 2012 |
Last updated | Feb 14th, 2024 - about 7 months 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1487919759 | NPPES |
Florida | MEDICAID | 019186500 |
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