Individual provider · Type 1 NPI

Shanda Bonner

Contractor · St. Louis, MO

NPI number 1609207893 Active

Practice location

1504 Park Way Dr
St. Louis, MO 63130-1245

Call (314) 449-4946 Map

Fax (314) 449-4946

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000XNone listed

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1609207893

Shanda Bonner's National Provider Identifier is 1609207893, issued on Dec 12, 2013. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in St. Louis, MO. The record was last updated on Dec 12, 2013.