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Contact Information

FREDRIC L. BONINE, DDS, MS, PC
6893 GRAND RIVER RD
BRIGHTON, MI48114-9345
 Phone: 810-229-9180
 Fax: 810-229-1880
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for FREDRIC L. BONINE, DDS, MS, PC

NPI Number 1184980914
LBN Legal business name FREDRIC L. BONINE, DDS, MS, PC
Authorized official FREDRIC BONINE - (SOLE PROPRIETOR)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/05/2012
Last updated 05/22/2012 - About 14 years ago
Identifiers
MI License # 2901012106
MI Other 1063440543 INDIVIDUAL NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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