Bonzelaar, William Barry

Bonzelaar, William Barry is an individual health care provider with primary practice located at 904 S Washington Ave Suite 210, Holland MI 49423-7724. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bonzelaar, William Barry can be contacted via phone (616) 392-8035.

Contact Information

Primary practice address
904 S Washington Ave Suite 210 Holland MI 49423-7724
Phone: (616) 392-8035
Fax: (616) 392-7404
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X WB049408 Michigan

Profile Details

NPI number 1053374165
LBN Legal business name Bonzelaar, William Barry
Credentials M.D.032354
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
Last updated Jul 29th, 2015 - about 11 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 1053374165 NPPES
Michigan Other 207Q00000X TAXONOMY
Michigan MEDICAID 3325725 10 TAXONOMY

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