Bookman, Mandell Tony

Bookman, Mandell Tony is an sole proprietor health care provider with primary practice located at 818 W King St Suite 202, Owosso MI 48867-2116. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Bookman, Mandell Tony can be contacted via phone (989) 723-1529.

Contact Information

Primary practice address
818 W King St Suite 202 Owosso MI 48867-2116
Fax: (989) 723-3507
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X MB035646 Michigan

Profile Details

NPI number 1598775702
LBN Legal business name Bookman, Mandell Tony
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Oct 14th, 2014 - about 10 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 1598775702 NPPES
Michigan MEDICAID 1802101

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