Individual
OTTO JOSEPH BONIN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
1215 INDEPENDENCE BLVD 1A, ZACHARY, LA 70791-7391
(225) 570-2010
(225) 570-8573
Mailing address
1215 INDEPENDENCE BLVD 1A, ZACHARY, LA 70791-7391
(225) 570-2010
(225) 570-8573
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN085359 - AP04429
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1069311
—
LA
01
—
P00089352
RR MEDICARE
LA
Enumeration date
07/07/2005
Last updated
07/08/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us