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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 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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