Bonine, Fredric L

Bonine, Fredric L is an sole proprietor health care provider with primary practice located at 6893 Grand River Rd , Brighton MI 48114-9345. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Pathology, which is considered as his primary health care specialty. Bonine, Fredric L can be contacted via phone (810) 229-9180.

Contact Information

Primary practice address
6893 Grand River Rd Brighton MI 48114-9345
Phone: (810) 229-9180
Fax: (810) 229-1880
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Pathology 1223P0106X 2910112106 Michigan

Profile Details

NPI number 1063440543
LBN Legal business name Bonine, Fredric L
Credentials DDS, MS, PC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 30th, 2006
Last updated May 22nd, 2012 - about 13 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 1063440543 NPPES
Michigan Other 1184980914 SOLE PROPRIETOR NPI

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