Individual
JACOB ANDREW BONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
201 N COLLEGIATE DR, #900, PARIS, TX 75460-1494
(515) 447-5256
Mailing address
201 N COLLEGIATE DR, #900, PARIS, TX 75460-1494
(515) 447-5256
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
06956
IA
111N00000X
Chiropractor
Primary
11474
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06956
LICENSE NUMBER
IA
01
—
11474
STATE LICENSE
TX
Enumeration date
03/13/2007
Last updated
07/07/2010
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