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Contact Information

DONALD R BONNER, DO
1850 CHADWICK DR
JACKSON, MS39204-3404
 Phone: 601-376-1848
 Fax: 601-376-1894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Public Health & General Preventive Medicine

2083P0901X 84 Physician/Preventive Medicine
Indicates primary specialty

NPI Profile & details for DONALD R BONNER · (Male)

NPI Number 1497788178
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/08/2006
Last updated 02/10/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 13234
  • MS Medicaid 0114973
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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