Bonabon, Marie Rose

Bonabon, Marie Rose is an individual health care provider with primary practice located at 309 W Butler Rd , Mauldin SC 29662-2531. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Bonabon, Marie Rose can be contacted via phone (864) 297-1575.

Contact Information

Primary practice address
309 W Butler Rd Mauldin SC 29662-2531
Phone: (864) 297-1575
Fax: (864) 284-0844
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23996 South Carolina

Profile Details

NPI number 1093775397
LBN Legal business name Bonabon, Marie Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 23rd, 2006
Last updated Jul 8th, 2007 - about 19 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 1093775397 NPPES
South Carolina MEDICAID 239969

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