Bonner, Jennifer Candace

Bonner, Jennifer Candace is an individual health care provider with primary practice located at 107 W 5Th North St , Summerville SC 29483-6446. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Bonner, Jennifer Candace can be contacted via phone (843) 871-9669.

Contact Information

Primary practice address
107 W 5Th North St Summerville SC 29483-6446
Phone: (843) 871-9669
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 3922 South Carolina

Profile Details

NPI number 1295058402
LBN Legal business name Bonner, Jennifer Candace
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 3rd, 2010
Last updated Sep 22nd, 2020 - about 6 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 1295058402 NPPES
South Carolina Other 3922 SC STATE LICENSE

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