Bonek, Ryan
Bonek, Ryan is an individual health care provider with primary practice located at 4630 Vistula Rd , Mishawaka IN 46544-4000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonek, Ryan can be contacted via phone (574) 647-1900.Contact Information
Primary practice address
4630 Vistula Rd
Mishawaka IN 46544-4000
Phone: (574) 647-1900
Fax: (574) 647-7206
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01077161A | Indiana |
Profile Details
| NPI number | 1730523846 |
|---|---|
| LBN Legal business name | Bonek, Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 18th, 2013 |
| Last updated | Mar 30th, 2021 - about 4 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 | 1730523846 | NPPES |
| Indiana | MEDICAID | 201375950 | |
| Indiana | Other | 000001038702 |
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