Mark A Bonasso in South Haven - Physician Assistant
Mark A Bonasso - NPI 1396764841
Mark A Bonasso is a Physician Assistant in South Haven, Michigan. Mark A Bonasso practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Mark A Bonasso is 1396764841. The last update date is 2023-03-09.
Mark A Bonasso's current location address is 950 S Bailey Ave Ste 1, South Haven, Michigan. You can contact this provider via phone number 2696392866. The mailing address for Mark A Bonasso is 950 S Bailey Ave Ste 1, South Haven, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Mark A Bonasso |
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Address | 950 S Bailey Ave Ste 1, South Haven, Michigan |
Phone Number | 2696392866 |
Fax Number | |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1396764841 |
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Provider Enumeration Date | 2006-07-18 |
Last Updated Date | 2023-03-09 |
Provider Mailing Address Detail
Address | 950 S Bailey Ave Ste 1 |
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City | South Haven |
State | Michigan (MI) |
Post Code | 490908744 |
Phone Number | 2696392866 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 5601003771 |
Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
Post Comment/ Review Below
What is the Mark A Bonasso's 1396764841?
The Mark A Bonasso's NPI (National Provider Identifier) Number is 1396764841. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Mark A Bonasso's facilities are geographically located?
The facilities of Mark A Bonasso are physically situated at the following location: 950 S Bailey Ave Ste 1, South Haven, MI, 490908744.
What is the Mark A Bonasso's specialty and taxonomy code?
The Mark A Bonasso's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
On what date was the 1396764841 assigned to Mark A Bonasso?
The Mark A Bonasso was issued its 1396764841 on 2006-07-18, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mark A Bonasso, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mark A Bonasso, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2023-03-09.