Search › Indiana › 363A00000X
Jack Bonham, PA
NPI 1396058608 · on the registry since 2010
Practice
- Address
- 1600 Albany St
Beech Grove, IN 46107 - Phone
- (317) 802-3151
- Fax
- (317) 870-0499
- Organisation at this address
- Franciscan St. Francis Health
Franciscan St. Francis Health
St. Francis Hospital And Health Centers
St. Francis Hospital And Health Centers
St. Francis Hospital And Health CentersInferred from a shared address, not stated in the registry. - Clinicians at this address
- 27
Additional practice sites
- 1500 N Ritter Ave Ste 500, Indianapolis, IN
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2021-06-25
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 Indiana