Bonasso, Kristy Jo
Bonasso, Kristy Jo is an individual health care provider with primary practice located at 24 Frank Lloyd Wright Dr , Ann Arbor MI 48105-9484. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, which is considered as her primary health care specialty. Bonasso, Kristy Jo can be contacted via phone (616) 920-4192.Contact Information
Primary practice address
24 Frank Lloyd Wright Dr
Ann Arbor MI 48105-9484
Phone: (616) 920-4192
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand | 225XH1200X | 5201005302 | Michigan |
Profile Details
| NPI number | 1851894109 |
|---|---|
| LBN Legal business name | Bonasso, Kristy Jo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 13th, 2018 |
| Last updated | Mar 13th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1851894109 | NPPES |
| Michigan | MEDICAID | 1003878539 |
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