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Contact Information

JO J BONNER, MD
12680 OLIVE BLVD.
STE. 200
SAINT LOUIS, MO63141
 Phone: 314-251-8892
 Fax: 314-251-8894
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for JO J BONNER · (Female)

NPI # 1982701371
Status Active
Credentials MD
Entity Individual
Enumeration date 09/20/2006
Last updated 01/21/2010 - About 16 years ago
Sole proprietor 1 Yes
Identifiers
  • MO License # 36705
  • MO Medicaid 010567402
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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