Bonsib, Stephen

Bonsib, Stephen is an sole proprietor health care provider with primary practice located at 10810 Executive Center Dr Ste 100 , Little Rock AR 72211-4386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine, which is considered as his primary health care specialty. Bonsib, Stephen can be contacted via phone (501) 604-2695.

Contact Information

Primary practice address
10810 Executive Center Dr Ste 100 Little Rock AR 72211-4386
Fax: (501) 604-2699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Pathology/Laboratory Medicine 207ZP0105X 01028549A Indiana

Profile Details

NPI number 1447217211
LBN Legal business name Bonsib, Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2006
Last updated Aug 1st, 2016 - about 9 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 1447217211 NPPES
Louisiana MEDICAID 1546186

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