Bonang, Michelle

Bonang, Michelle is an sole proprietor health care provider with primary practice located at 84 Lawrence Hill Rd , Weston VT 05161-5602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Bonang, Michelle can be contacted via phone (802) 289-2930.

Contact Information

Primary practice address
84 Lawrence Hill Rd Weston VT 05161-5602
Phone: (802) 289-2930
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 0720000579 Vermont

Profile Details

NPI number 1700117140
LBN Legal business name Bonang, Michelle
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2010
Last updated Aug 20th, 2016 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1700117140 NPPES
Vermont MEDICAID 1017185

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