Taylor, Bonnie L.
Taylor, Bonnie L. is an individual health care provider with primary practice located at 4600 Breton Rd Se Suite 102, Kentwood MI 49508-5262. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Taylor, Bonnie L. can be contacted via phone (616) 391-9970.Contact Information
Primary practice address
4600 Breton Rd Se Suite 102
Kentwood MI 49508-5262
Phone: (616) 391-9970
Fax: (616) 391-9707
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101010156 | Michigan |
Profile Details
| NPI number | 1528099884 |
|---|---|
| LBN Legal business name | Taylor, Bonnie L. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Mar 3rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528099884 | NPPES |
| Michigan | MEDICAID | 1528099884 |
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