Provider Demographics
NPI:1073657615
Name:MARSH, BONNIE STARR (ND)
Entity Type:Individual
Prefix:DR
First Name:BONNIE
Middle Name:STARR
Last Name:MARSH
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:BONNIE
Other - Middle Name:
Other - Last Name:BOMSE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:905 KOKOMO RD
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-5004
Mailing Address - Country:US
Mailing Address - Phone:808-575-2242
Mailing Address - Fax:808-575-2242
Practice Address - Street 1:905 KOKOMO RD
Practice Address - Street 2:
Practice Address - City:HAIKU
Practice Address - State:HI
Practice Address - Zip Code:96708-5004
Practice Address - Country:US
Practice Address - Phone:808-575-2242
Practice Address - Fax:808-575-2242
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI168175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath