Provider Demographics
NPI:1659406346
Name:BONE, ANNA R (DC)
Entity Type:Individual
Prefix:DR
First Name:ANNA
Middle Name:R
Last Name:BONE
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7734 WATSON RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63119-5407
Mailing Address - Country:US
Mailing Address - Phone:314-961-1807
Mailing Address - Fax:
Practice Address - Street 1:7734 WATSON RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63119-5407
Practice Address - Country:US
Practice Address - Phone:314-961-1807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3441111N00000X
MO2007000447111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor