Boonstra, Tyler Justin
Boonstra, Tyler Justin is an individual health care provider with primary practice located at Unmh 2211 Lomas Blvd. Ne, Albuquerque NM 87106-4374. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boonstra, Tyler Justin can be contacted via phone (505) 272-4866.Contact Information
Primary practice address
Unmh 2211 Lomas Blvd. Ne
Albuquerque NM 87106-4374
Phone: (505) 272-4866
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY1530 | New Mexico |
Profile Details
| NPI number | 1528549953 |
|---|---|
| LBN Legal business name | Boonstra, Tyler Justin |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 23rd, 2018 |
| Last updated | Jul 14th, 2023 - about 2 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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