Bonner, Jo Jaeger
Bonner, Jo Jaeger is an sole proprietor health care provider with primary practice located at 12680 Olive Blvd. Ste. 200, St. Louis MO 63141. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Bonner, Jo Jaeger can be contacted via phone (314) 251-8892.Contact Information
Primary practice address
12680 Olive Blvd. Ste. 200
St. Louis MO 63141
Phone: (314) 251-8892
Fax: (314) 251-8894
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 36705 | Missouri |
Profile Details
| NPI number | 1982701371 |
|---|---|
| LBN Legal business name | Bonner, Jo Jaeger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 20th, 2006 |
| Last updated | Jan 21st, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982701371 | NPPES |
| Missouri | MEDICAID | 010567402 |
Popular Providers
-
Pasch, Emily Katherine
6022 S. Undbergh Blvd. , St. Louis MO 63123 -
Sosna, Jacob Phillip
621 S New Ballas Rd Ste 598A, Saint Louis MO 63141-8232 -
Mallick, Meher S
10004 Kennerly Rd Ste 361B , Saint Louis MO 63128-2141 -
Bennett, Kenneth J
1040 N Mason Rd Ste G-03, St Louis MO 63141 -
Janssen, David Alan
621 S. New Ballas Road Suite 70 Tower B, St. Louis MO 63141 -
Impey, Michael David
2355 Dougherty Ferry Road Suite 408, St. Louis MO 63122 -
Singh, Inderjit
11155 Dunn Rd Suite 207N, Saint Louis MO 63136-6149 -
Backer, Robert J
621 S New Ballas Rd Ste 297A, Saint Louis MO 63141-8232