Boedeker, David Alden

Boedeker, David Alden is an individual health care provider with primary practice located at 2815 S. Pennsylvania Ave Suite 204, Lansing MI 48910-3496. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Boedeker, David Alden can be contacted via phone (517) 267-0200.

Contact Information

Primary practice address
2815 S. Pennsylvania Ave Suite 204 Lansing MI 48910-3496
Phone: (517) 267-0200
Fax: (517) 267-1877
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601008520 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PT696 Wyoming

Profile Details

NPI number 1508311085
LBN Legal business name Boedeker, David Alden
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 24th, 2016
Last updated Oct 4th, 2021 - about 3 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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