Search › Ohio › 175T00000X
Jacob Bonner
NPI 1104588789 · on the registry since 2021
Practice
- Address
- 13377 Smith Rd
Cleveland, OH 44130 - Phone
- (440) 340-5558
- Fax
- (440) 340-5575
- Clinicians at this address
- 19
Registry record
- Primary taxonomy
- 175T00000X
175T00000X
- Also registered as
- 175T00000X
- Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-10-11
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio