JACOB BONNER NPI 1104588789

NPI Information

NPI: 1104588789
Provider Name: JACOB BONNER
Classification: Peer Specialist - 175T00000X
Entity Type: Individual
Address:
13377 SMITH RD
CLEVELAND, OH
ZIP 44130
Phone: (440) 340-5558
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Jacob Bonner is a peer specialist in Cleveland, OH. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. Jacob Bonner NPI is 1104588789. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

13377 SMITH RD
CLEVELAND, OH
ZIP 44130-810
Phone: (440) 340-5558
Fax: (440) 340-5575

The enumeration date for this NPI number is 10/11/2021 and was last updated on 10/11/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist			OHIO	No
2	175T00000X	Peer Specialist		0002342	OHIO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

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