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Contact Information

TERRY J BONEBRAKE, CARE MANAGER/QIDP
2228 SANDSTONE DR
JENISON, MI49428-7769
 Phone: 616-204-1571
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Case Manager/Care Coordinator

171M00000X
 

Doula

374J00000X
 

Religious Nonmedical Practitioner

374K00000X
Indicates primary specialty

NPI Profile & details for TERRY J BONEBRAKE · (Male)

NPI Number 1053051359
Status Active
Credentials CARE MANAGER/QIDP
Entity Individual
Enumeration date 04/01/2022
Last updated 04/01/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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