Bonasso, Mark A

Bonasso, Mark A is an individual health care provider with primary practice located at 950 S Bailey Ave Ste 1 , South Haven MI 49090-8744. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Bonasso, Mark A can be contacted via phone (269) 639-2866.

Contact Information

Primary practice address
950 S Bailey Ave Ste 1 South Haven MI 49090-8744
Phone: (269) 639-2866
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003771 Michigan

Profile Details

NPI number 1396764841
LBN Legal business name Bonasso, Mark A
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Mar 19th, 2024 - about last year

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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