Bolan, Michael Shawn

Bolan, Michael Shawn is an sole proprietor health care provider with primary practice located at 2272 32Nd St Se , Kentwood MI 49508-1509. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Bolan, Michael Shawn can be contacted via phone (616) 247-0399.

Contact Information

Primary practice address
2272 32Nd St Se Kentwood MI 49508-1509
Fax: (616) 247-0499
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101009303 Michigan

Profile Details

NPI number 1659488807
LBN Legal business name Bolan, Michael Shawn
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2006
Last updated Aug 14th, 2014 - about 10 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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