Bonner, James Roy

Bonner, James Roy is an individual health care provider with primary practice located at 1150 Reservoir Ave Suite 205, Cranston RI 02920-6068. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Bonner, James Roy can be contacted via phone (401) 943-9222.

Contact Information

Primary practice address
1150 Reservoir Ave Suite 205 Cranston RI 02920-6068
Phone: (401) 943-9222
Fax: (401) 943-9290
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD08084 Rhode Island

Profile Details

NPI number 1083754717
LBN Legal business name Bonner, James Roy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2007
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 1083754717 NPPES
Rhode Island MEDICAID JB43582

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