Mcclure, Bonnie M

Mcclure, Bonnie M is an individual health care provider with primary practice located at 1200 E Michigan Ave , Lansing MI 48912-1800. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Mcclure, Bonnie M can be contacted via phone (517) 364-5210.

Contact Information

Primary practice address
1200 E Michigan Ave Lansing MI 48912-1800
Phone: (517) 364-5210
Fax: (517) 364-5216
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 4704081390 Michigan

Profile Details

NPI number 1942382601
LBN Legal business name Mcclure, Bonnie M
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Jul 8th, 2007 - about 17 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 1942382601 NPPES
Michigan Other 5008764590 BCBS INDIVIDUAL PIN
Michigan MEDICAID 4262808 BCBS INDIVIDUAL PIN

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