Wilson, Bonnie Fons
Wilson, Bonnie Fons is an individual health care provider with primary practice located at 415 W Grand River , East Lansing MI 48823-4201. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Wilson, Bonnie Fons can be contacted via phone (517) 336-8005.Contact Information
Primary practice address
415 W Grand River
East Lansing MI 48823-4201
Phone: (517) 336-8005
Fax: (517) 333-8777
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counseling | 103TC1900X | 6301006287 | Michigan |
Profile Details
| NPI number | 1912917881 |
|---|---|
| LBN Legal business name | Wilson, Bonnie Fons |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1912917881 | NPPES |
| Michigan | Other | 620C34660 | BLUE CROSS BLUE SHIELD |
| Michigan | Other | 5716466 | BLUE CROSS BLUE SHIELD |
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