Carson, Bonita
Carson, Bonita is an individual health care provider with primary practice located at 4191 S Colorado Blvd , Englewood CO 80113-5039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as her primary health care specialty. Carson, Bonita can be contacted via phone (303) 493-7000.Contact Information
Primary practice address
4191 S Colorado Blvd
Englewood CO 80113-5039
Phone: (303) 493-7000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine | 2080N0001X | 18487 | Colorado |
Profile Details
| NPI number | 1770668402 |
|---|---|
| LBN Legal business name | Carson, Bonita |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Apr 7th, 2009 - about 17 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 | 1770668402 | NPPES |
| Colorado | MEDICAID | 01184878 |
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