Bonzheim, Scott C

Bonzheim, Scott C is an individual health care provider with primary practice located at 4272 W Vienna Rd , Clio MI 48420-9454. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Bonzheim, Scott C can be contacted via phone (810) 919-9415.

Contact Information

Primary practice address
4272 W Vienna Rd Clio MI 48420-9454
Phone: (810) 919-9415
Fax: (810) 686-1687
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X SB002841 Michigan

Profile Details

NPI number 1255386900
LBN Legal business name Bonzheim, Scott C
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Feb 4th, 2021 - about 3 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 1255386900 NPPES
Michigan Other SB002841 BCBS

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