Brown, Bonnie Marie
Brown, Bonnie Marie is an sole proprietor health care provider with primary practice located at 1675 E Mt Garfield Rd Ste 135 , Muskegon MI 49444-7732. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Brown, Bonnie Marie can be contacted via phone (231) 799-8880.Contact Information
Primary practice address
1675 E Mt Garfield Rd Ste 135
Muskegon MI 49444-7732
Phone: (231) 799-8880
Fax: (231) 799-8803
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY0405 | Nevada |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | PY0405 | Nevada |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301017020 | Michigan |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 6301017020 | Michigan |
Profile Details
NPI number | 1801923339 |
---|---|
LBN Legal business name | Brown, Bonnie Marie |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 28th, 2007 |
Last updated | Mar 17th, 2018 - about 6 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 | 1801923339 | NPPES |
Nevada | MEDICAID | 1801923339 | |
Nevada | MEDICAID | 002602083 |
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