Bondale, Manish
Bondale, Manish is an individual health care provider with primary practice located at 1500 W. High St. , Mt. Pleasant MI 48858. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Bondale, Manish can be contacted via phone (989) 772-0258.Contact Information
Primary practice address
1500 W. High St.
Mt. Pleasant MI 48858
Phone: (989) 772-0258
Fax: (989) 953-4603
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501006930 | Michigan |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1972533016 |
|---|---|
| LBN Legal business name | Bondale, Manish |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 4th, 2006 |
| Last updated | Mar 19th, 2010 - about 16 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 | 1972533016 | NPPES |
| Other | 30069 | BCBSM | |
| MEDICAID | 404983397 | BCBSM |
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