Oates, Charles Bonner
Oates, Charles Bonner is an sole proprietor health care provider with primary practice located at 210 Neel Ave , Socorro NM 87801-4649. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Oates, Charles Bonner can be contacted via phone (505) 835-1623.Contact Information
Primary practice address
210 Neel Ave
Socorro NM 87801-4649
Phone: (505) 835-1623
Fax: (505) 835-3033
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DD1385 | New Mexico |
Profile Details
| NPI number | 1124152517 |
|---|---|
| LBN Legal business name | Oates, Charles Bonner |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 15th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124152517 | NPPES |
| New Mexico | MEDICAID | 6465 | |
| New Mexico | MEDICAID | 00084517 |
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