Bonham, Michael J

Bonham, Michael J is an individual health care provider with primary practice located at 8800 Rt 91 N , Peoria IL 61615. He recently has only one registered license in Pharmacy Service Providers / Pharmacotherapy, which is considered as his primary health care specialty. Bonham, Michael J can be contacted via phone (309) 683-4723.

Contact Information

Primary practice address
8800 Rt 91 N Peoria IL 61615
Phone: (309) 683-4723
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacotherapy 1835P1200X Illinois

Profile Details

NPI number 1164417770
LBN Legal business name Bonham, Michael J
Credentials RPH
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jul 8th, 2007 - about 17 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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