Individual
DR. BONITA L JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
960 AGARD AVE, BENTON HARBOR, MI 49022-4051
(269) 927-5162
(269) 928-5319
Mailing address
960 AGARD AVE, BENTON HARBOR, MI 49022-4051
(269) 927-5162
(269) 928-5319
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
4301084649
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-30395
PHP
MI
01
—
1601110521
BLUE CROSS
MI
01
—
1907923
CIGNA
MI
05
—
4686697
—
MI
01
—
P00245388
RAILROAD MEDICARE
MI
Enumeration date
02/15/2006
Last updated
03/07/2023
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