Boonstra, Johnathan
Boonstra, Johnathan is an individual health care provider with primary practice located at 105 Hall St , Traverse City MI 49684-2288. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Boonstra, Johnathan can be contacted via phone (231) 922-4850.Contact Information
Primary practice address
105 Hall St
Traverse City MI 49684-2288
Phone: (231) 922-4850
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X |
Profile Details
| NPI number | 1215485347 |
|---|---|
| LBN Legal business name | Boonstra, Johnathan |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 19th, 2016 |
| Last updated | Sep 19th, 2016 - about 10 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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