Jo Jaeger Bonner is a Specialist in St. Louis, Missouri. Jo Jaeger Bonner practices all healthcare services and medical treatments related to Specialist. The NPI Number for Jo Jaeger Bonner is 1982701371. The last update date is 2010-01-21.
Jo Jaeger Bonner's current location address is 12680 Olive Blvd., St. Louis, Missouri. You can contact this provider via phone number 3142518892 and fax number 3142518894. The mailing address for Jo Jaeger Bonner is 12680 Olive Blvd., St. Louis, Missouri. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jo Jaeger Bonner |
|---|---|
| Address | 12680 Olive Blvd., St. Louis, Missouri |
| Phone Number | 3142518892 |
| Fax Number | 3142518894 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982701371 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2010-01-21 |
Provider Mailing Address Detail
| Address | 12680 Olive Blvd. |
|---|---|
| City | St. Louis |
| State | Missouri (MO) |
| Post Code | 63141 |
| Phone Number | 3142518892 |
| Fax Number | 3142518894 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36705 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 10567402 | MO | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jo Jaeger Bonner?
The Jo Jaeger Bonner has been issued the NPI (National Provider Identifier) 1982701371 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Jo Jaeger Bonner?
The Jo Jaeger Bonner is physically situated at 12680 Olive Blvd., in the city of St. Louis, state of MO, with the postal code 63141.
What is the Jo Jaeger Bonner's specialty and taxonomy code?
The Jo Jaeger Bonner's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Jo Jaeger Bonner receive its 1982701371?
The Jo Jaeger Bonner was issued its 1982701371 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Jo Jaeger Bonner last refreshed?
The information related to the Jo Jaeger Bonner, including its address, specialty, and other relevant details, was last updated on 2010-01-21.
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