Boardman Family Practice Pllc

LBN: Boardman Family Practice Pllc
Boardman Family Practice Pllc is an health care organization with primary practice located at 4713 Pine St Sw , South Boardman MI 49680-9761. The organization recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Rural Health, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Boardman Family Practice Pllc can be contacted via phone (231) 518-0189, or through Kreykes, Todd via phone (231) 624-1054.

Contact Information

Primary practice address
4713 Pine St Sw South Boardman MI 49680-9761
Phone: (231) 518-0189
Fax: (231) 518-0188
Website:
Map and Directions
Authorized official contact:
Name: Kreykes, Todd Physician Assistant (PA)
Phone: (231) 624-1054

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101013379 Michigan
Ambulatory Health Care Facilities / Rural Health 261QR1300X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601002729 Michigan

Profile Details

NPI number 1740564681
LBN Legal business name Boardman Family Practice Pllc
DBA Doing business as
Authorized official Kreykes, Todd Physician Assistant (PA)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2011
Last updated Mar 30th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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