Bocknek, Marc P
Bocknek, Marc P is an individual health care provider with primary practice located at 2632 S Milford Rd , Highland MI 48357-4938. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Bocknek, Marc P can be contacted via phone (248) 684-5510.Contact Information
Primary practice address
2632 S Milford Rd
Highland MI 48357-4938
Phone: (248) 684-5510
Fax: (248) 684-5220
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | MB006783 | Michigan |
Profile Details
NPI number | 1538149679 |
---|---|
LBN Legal business name | Bocknek, Marc P |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 17th, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538149679 | NPPES |
Michigan | MEDICAID | 1518141 |
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