# STEPHEN BONEY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053373258
- **Gender:** Man
- **Credential:** PH.D CCC-A

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 231H00000X | Audiologist | 93 | NE | Yes |
| 237600000X | Audiologist-Hearing Aid Fitter | 651 | NE | — |

## Other

- **Enumeration date:** 04/04/2006
- **Last updated:** 11/08/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 10025369300 | — | NE |
| 05 | — | 10025369400 | — | NE |
| 01 | — | 37021 | BCBS | NE |
| 01 | — | 651 | NE HEARING AID DISPENSER | NE |
| 01 | — | 93 | NE AUDIOLOGY LICENSE | NE |
| 01 | — | P00815213 | RR MEDICARE PTAN | NE |
