Boodin, Stephen Earl

Boodin, Stephen Earl is an sole proprietor health care provider with primary practice located at 909 W Maple Rd Suite 104, Clawson MI 48017-1000. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Boodin, Stephen Earl can be contacted via phone (248) 288-3200.

Contact Information

Primary practice address
909 W Maple Rd Suite 104 Clawson MI 48017-1000
Phone: (248) 288-3200
Fax: (248) 288-0530
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 032164 Michigan

Profile Details

NPI number 1093799702
LBN Legal business name Boodin, Stephen Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 6th, 2005
Last updated Mar 31st, 2016 - about 9 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 1093799702 NPPES
Michigan MEDICAID 2950744

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