Bonebrake, Terry Joe
Bonebrake, Terry Joe is an sole proprietor health care provider with primary practice located at 2228 Sandstone Dr , Jenison MI 49428-7769. He recently has 3 registered licenses in different health care specialties including Nursing Service Related Providers / Doula, Nursing Service Related Providers / Religious Nonmedical Practitioner, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is his primary health care specialty. Bonebrake, Terry Joe can be contacted via phone (616) 204-1571.Contact Information
Primary practice address
2228 Sandstone Dr
Jenison MI 49428-7769
Phone: (616) 204-1571
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Related Providers / Doula | 374J00000X | ||
| Nursing Service Related Providers / Religious Nonmedical Practitioner | 374K00000X | ||
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1053051359 |
|---|---|
| LBN Legal business name | Bonebrake, Terry Joe |
| Credentials | CARE MANAGER/QIDP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2022 |
| Last updated | Apr 1st, 2022 - about 4 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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