Bonner, Edward
Bonner, Edward is an sole proprietor health care provider with primary practice located at 961 Marcon Blvd Ste 312 , Allentown PA 18109-9373. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Bonner, Edward can be contacted via phone (610) 428-9141.Contact Information
Primary practice address
961 Marcon Blvd Ste 312
Allentown PA 18109-9373
Phone: (610) 428-9141
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 9869 | Pennsylvania |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | PC004595 | Pennsylvania |
Profile Details
| NPI number | 1730389628 |
|---|---|
| LBN Legal business name | Bonner, Edward |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 19th, 2007 |
| Last updated | Apr 25th, 2018 - about 8 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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