Bonney, Martin D

Bonney, Martin D is an individual health care provider with primary practice located at 1700 W Smith Valley Rd Ste C1 , Greenwood IN 46142-1589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bonney, Martin D can be contacted via phone (317) 300-4091.

Contact Information

Primary practice address
1700 W Smith Valley Rd Ste C1 Greenwood IN 46142-1589
Phone: (317) 300-4091
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01047187A Indiana

Profile Details

NPI number 1649275025
LBN Legal business name Bonney, Martin D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2005
Last updated Jul 23rd, 2021 - about 3 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 1649275025 NPPES
Kentucky Other 50004094 PASSPORT GROUP # 50000548
Kentucky Other 50004275 PASSPORT GROUP # 50000548
Kentucky Other 000000060164 PASSPORT GROUP # 50000548
Kentucky Other 000000275811 PASSPORT GROUP # 50000548
Kentucky MEDICAID 64040843 PASSPORT GROUP # 50000548

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