Bockoven, Kurt M

Bockoven, Kurt M is an individual health care provider with primary practice located at 6130 E Brown Rd , Mesa AZ 85205-4960. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bockoven, Kurt M can be contacted via phone (480) 807-3554.

Contact Information

Primary practice address
6130 E Brown Rd Mesa AZ 85205-4960
Phone: (480) 807-3554
Fax: (480) 807-8330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 6560184-4405 Utah

Profile Details

NPI number 1154361459
LBN Legal business name Bockoven, Kurt M
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Nov 4th, 2019 - about 5 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 1154361459 NPPES
Tennessee MEDICAID 3904060
Tennessee MEDICAID 1205957131

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