Bonney, Charles Stephen

Bonney, Charles Stephen is an individual health care provider with primary practice located at 503 N Main St Suite 640, Pueblo CO 81003-3130. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Bonney, Charles Stephen can be contacted via phone (719) 542-6000.

Contact Information

Primary practice address
503 N Main St Suite 640 Pueblo CO 81003-3130
Phone: (719) 542-6000
Fax: (719) 542-6037
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 19099 Colorado
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 2390A Wyoming

Profile Details

NPI number 1346204534
LBN Legal business name Bonney, Charles Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2006
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 1346204534 NPPES
Colorado MEDICAID 01190990

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