Bonner, Michael

Bonner, Michael is an individual health care provider with primary practice located at 106 Milford St Suite 104, Salisbury MD 21804-6953. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Bonner, Michael can be contacted via phone (410) 543-8291.

Contact Information

Primary practice address
106 Milford St Suite 104 Salisbury MD 21804-6953
Phone: (410) 543-8291
Fax: (410) 341-6275
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3523 Maryland

Profile Details

NPI number 1891801619
LBN Legal business name Bonner, Michael
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Sep 18th, 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 1891801619 NPPES
Maryland MEDICAID 821701700

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