Boomstra, Sarah

Boomstra, Sarah is an individual health care provider with primary practice located at 100 Michigan St Ne , Grand Rapids MI 49503-2560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boomstra, Sarah can be contacted via phone (616) 391-6243.

Contact Information

Primary practice address
100 Michigan St Ne Grand Rapids MI 49503-2560
Phone: (616) 391-6243
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4704218762 Michigan

Profile Details

NPI number 1215977509
LBN Legal business name Boomstra, Sarah
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2006
Last updated Jul 9th, 2007 - about 17 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 1215977509 NPPES
Michigan MEDICAID 4696370
Michigan Other 5008704590
Michigan Other 1558407189

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