Boelkins, Mark R

Boelkins, Mark R is an individual health care provider with primary practice located at 330 E Beltline Ave Ne Suite 100, Grand Rapids MI 49506-1267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Boelkins, Mark R can be contacted via phone (616) 752-6235.

Contact Information

Primary practice address
330 E Beltline Ave Ne Suite 100 Grand Rapids MI 49506-1267
Phone: (616) 752-6235
Fax: (616) 752-6324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301047768 Michigan

Profile Details

NPI number 1942396437
LBN Legal business name Boelkins, Mark R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Oct 29th, 2021 - about 4 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 1942396437 NPPES
Michigan MEDICAID 1896752

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