Anthony Bonner, BS
Counselor, Addiction (Substance Use Disorder) in Hamtrack, MI. Individual provider (NPI-1).
NPI number1801222005
StatusActive
Last updated in NPPESSep 19, 2013
Details
- NPI
- 1801222005
- Entity type
- Individual (NPI-1)
- Name
- Anthony Bonner
- Credential
- BS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 19, 2013
- Last updated
- Sep 19, 2013
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | – | Yes |
Practice location
4251 E. McNicholsHamtrack, MI 48205
Phone 313-368-4600
Mailing address
17535 Manderson RdDetroit, MI 48203-4056
Phone 313-495-4012
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