Boekeloo, Stuart William
Boekeloo, Stuart William is an individual health care provider with primary practice located at 2525 S Cleveland Ave , Saint Joseph MI 49085-2609. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Boekeloo, Stuart William can be contacted via phone (269) 429-6101.Contact Information
Primary practice address
2525 S Cleveland Ave
Saint Joseph MI 49085-2609
Phone: (269) 429-6101
Fax: (269) 429-7029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 14693 | Michigan |
Profile Details
| NPI number | 1356569602 |
|---|---|
| LBN Legal business name | Boekeloo, Stuart William |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1356569602 | NPPES |
| Michigan | Other | 14693 | STATE LICENSE NUMBER |
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