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
Fax: (248) 684-5220
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538149679 NPPES
Michigan MEDICAID 1518141

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