Bonness, Michelle R
Bonness, Michelle R is an individual health care provider with primary practice located at 20320 W Greenfield Ave , Brookfield WI 53045-3737. She recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as her primary health care specialty. Bonness, Michelle R can be contacted via phone (262) 782-7021.Contact Information
Primary practice address
20320 W Greenfield Ave
Brookfield WI 53045-3737
Phone: (262) 782-7021
Fax: (262) 782-8738
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 38739-020 | Wisconsin |
Profile Details
| NPI number | 1720183130 |
|---|---|
| LBN Legal business name | Bonness, Michelle R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2006 |
| Last updated | Aug 2nd, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720183130 | NPPES |
| Wisconsin | MEDICAID | 32428700 |
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