Bonney, Martin D
Bonney, Martin D is an individual health care provider with primary practice located at 1700 W Smith Valley Rd Ste C1 , Greenwood IN 46142-1589. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Bonney, Martin D can be contacted via phone (317) 300-4091.Contact Information
Primary practice address
1700 W Smith Valley Rd Ste C1
Greenwood IN 46142-1589
Phone: (317) 300-4091
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 01047187A | Indiana |
Profile Details
| NPI number | 1649275025 |
|---|---|
| LBN Legal business name | Bonney, Martin D |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2005 |
| Last updated | Jul 23rd, 2021 - about 5 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 | 1649275025 | NPPES |
| Kentucky | Other | 50004094 | PASSPORT GROUP # 50000548 |
| Kentucky | Other | 50004275 | PASSPORT GROUP # 50000548 |
| Kentucky | Other | 000000060164 | PASSPORT GROUP # 50000548 |
| Kentucky | Other | 000000275811 | PASSPORT GROUP # 50000548 |
| Kentucky | MEDICAID | 64040843 | PASSPORT GROUP # 50000548 |
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