Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Individual
LOREN E BONENCLARK
Active
Individual
LOREN E BONENCLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA9112402
FL
363AS0400X
Surgical Physician Assistant
C06217
MD
363AS0400X
Surgical Physician Assistant
PA9112402
FL
Other
Enumeration date
10/04/2016
Last updated
09/24/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up