Bonham, Ryan James

Bonham, Ryan James is an individual health care provider with primary practice located at 695 N Kellogg St , Galesburg IL 61401-2807. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Bonham, Ryan James can be contacted via phone (309) 343-8131.

Contact Information

Primary practice address
695 N Kellogg St Galesburg IL 61401-2807
Phone: (309) 343-8131
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209012691 Illinois

Profile Details

NPI number 1225414667
LBN Legal business name Bonham, Ryan James
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2015
Last updated Aug 8th, 2015 - about 11 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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