Carson, Bonita

Carson, Bonita is an individual health care provider with primary practice located at 4191 S Colorado Blvd , Englewood CO 80113-5039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Carson, Bonita can be contacted via phone (303) 493-7000.

Contact Information

Primary practice address
4191 S Colorado Blvd Englewood CO 80113-5039
Phone: (303) 493-7000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 18487 Colorado

Profile Details

NPI number 1770668402
LBN Legal business name Carson, Bonita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 25th, 2006
Last updated Apr 7th, 2009 - about 15 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 1770668402 NPPES
Colorado MEDICAID 01184878

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