Boomershine, Mark A
Boomershine, Mark A is an individual health care provider with primary practice located at 3496 E Lake Lansing Rd Suite 100, East Lansing MI 48823-2288. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Boomershine, Mark A can be contacted via phone (517) 333-0968.Contact Information
Primary practice address
3496 E Lake Lansing Rd Suite 100
East Lansing MI 48823-2288
Phone: (517) 333-0968
Fax: (517) 333-4306
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601001393 | Michigan |
Profile Details
| NPI number | 1164617122 |
|---|---|
| LBN Legal business name | Boomershine, Mark A |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2007 |
| Last updated | Mar 7th, 2023 - about last year |
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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