Bonom, Stevan D

Bonom, Stevan D is an individual health care provider with primary practice located at 1924 Alcoa Hwy U109, Knoxville TN 37920-1511. He recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Bonom, Stevan D can be contacted via phone (865) 305-9220.

Contact Information

Primary practice address
1924 Alcoa Hwy U109 Knoxville TN 37920-1511
Phone: (865) 305-9220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X RN128520 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 054155 Tennessee

Profile Details

NPI number 1497728752
LBN Legal business name Bonom, Stevan D
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 1st, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1497728752 NPPES
Tennessee Other 054155 CRNA LICENSE
Tennessee Other RN128520 CRNA LICENSE

Popular Providers