Bonsaver, Michael

Bonsaver, Michael is an individual health care provider with primary practice located at 3188 N Windsong Dr Ste A , Prescott Valley AZ 86314-1220. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bonsaver, Michael can be contacted via phone (928) 775-9430.

Contact Information

Primary practice address
3188 N Windsong Dr Ste A Prescott Valley AZ 86314-1220
Phone: (928) 775-9430
Fax: (928) 775-9431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X AP5585 Arizona

Profile Details

NPI number 1336552132
LBN Legal business name Bonsaver, Michael
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2014
Last updated Mar 16th, 2022 - about 2 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 1336552132 NPPES
Arizona Other P01724911 RR MEDICARE
Arizona Other 5858852 RR MEDICARE

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