Bonacci, Maryellen Marlene
Bonacci, Maryellen Marlene is an sole proprietor health care provider with primary practice located at 438 County Road 612 Ne , Kalkaska MI 49646-8577. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bonacci, Maryellen Marlene can be contacted via phone (231) 258-5565.Contact Information
Primary practice address
438 County Road 612 Ne
Kalkaska MI 49646-8577
Phone: (231) 258-5565
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 6801087694 | Michigan |
Profile Details
| NPI number | 1265514939 |
|---|---|
| LBN Legal business name | Bonacci, Maryellen Marlene |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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