Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bonne Terre Health Clinic LLC

Organization Family Medicine Physician · NPI 1104071935

Bonne Terre Health Clinic LLC is a Family Medicine Physician in Bonne Terre, Missouri. Licensed in Missouri. Registered with an NPI since 2008.

Licensed in
MO
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

55 Nesbit Dr
Bonne Terre, MO 63628-1353
Phone: (573) 358-3343
Fax: (573) 358-5458
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence 102387 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 102387 (MO)

Record details

NPI number1104071935
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Ninichuck — Member · (573) 358-3343
NPI enumeratedNovember 20, 2008
Last updated in NPPESSeptember 24, 2009
Mailing address55 Nesbit Dr, Bonne Terre, MO 63628-1353

Other providers in Bonne Terre