Boomer, Marie Vale
Boomer, Marie Vale is an individual health care provider with primary practice located at 28455 Haggerty Rd Ste 200, Novi MI 48377-2982. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Boomer, Marie Vale can be contacted via phone (248) 893-3200.Contact Information
Primary practice address
28455 Haggerty Rd Ste 200
Novi MI 48377-2982
Phone: (248) 893-3200
Fax: (248) 893-2950
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601001569 | Michigan |
Profile Details
| NPI number | 1164621009 |
|---|---|
| LBN Legal business name | Boomer, Marie Vale |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 12th, 2007 |
| Last updated | Dec 29th, 2015 - 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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