Bonney, Charles Stephen
Bonney, Charles Stephen is an individual health care provider with primary practice located at 503 N Main St Suite 640, Pueblo CO 81003-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bonney, Charles Stephen can be contacted via phone (719) 542-6000.Contact Information
Primary practice address
503 N Main St Suite 640
Pueblo CO 81003-3130
Phone: (719) 542-6000
Fax: (719) 542-6037
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 19099 | Colorado |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2390A | Wyoming |
Profile Details
| NPI number | 1346204534 |
|---|---|
| LBN Legal business name | Bonney, Charles Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 14th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346204534 | NPPES |
| Colorado | MEDICAID | 01190990 |
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