Boctor, Mark

Boctor, Mark is an sole proprietor health care provider with primary practice located at 599 Lake Shore Rd , Grosse Pointe Shores MI 48236-2632. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Boctor, Mark can be contacted via phone (248) 494-0312.

Contact Information

Primary practice address
599 Lake Shore Rd Grosse Pointe Shores MI 48236-2632
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 4301505266 Michigan

Profile Details

NPI number 1972038867
LBN Legal business name Boctor, Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 27th, 2017
Last updated Jan 21st, 2022 - about 2 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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