Boldenow, Tanya
Boldenow, Tanya is an individual health care provider with primary practice located at 5301 E Huron River Dr , Ypsilanti MI 48197-1051. She recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Boldenow, Tanya can be contacted via phone (734) 712-3935.Contact Information
Primary practice address
5301 E Huron River Dr
Ypsilanti MI 48197-1051
Phone: (734) 712-3935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 4301088387 | Michigan |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 4301088387 | Michigan |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | 4301099387 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301088387 | Michigan |
Profile Details
| NPI number | 1083837173 |
|---|---|
| LBN Legal business name | Boldenow, Tanya |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 10th, 2007 |
| Last updated | Sep 10th, 2020 - about 6 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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