Smith, Bonnie R

Smith, Bonnie R is an individual health care provider with primary practice located at 1241 W Stadium Blvd , Jefferson City MO 65109-6023. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Smith, Bonnie R can be contacted via phone (573) 556-7755.

Contact Information

Primary practice address
1241 W Stadium Blvd Jefferson City MO 65109-6023
Phone: (573) 556-7755
Fax: (573) 761-3599
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2005020853 Missouri

Profile Details

NPI number 1073554267
LBN Legal business name Smith, Bonnie R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Feb 12th, 2010 - about 14 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 1073554267 NPPES
Missouri Other P00317767 RAILROAD MEDICARE
Missouri Other 751486 RAILROAD MEDICARE
Missouri MEDICAID 200396604 RAILROAD MEDICARE

Popular Providers