Boss, Luke Isaac
Boss, Luke Isaac is an sole proprietor health care provider with primary practice located at 5060 Cascade Rd Se Ste A , Grand Rapids MI 49546-3808. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Boss, Luke Isaac can be contacted via phone (616) 954-0950.Contact Information
Primary practice address
5060 Cascade Rd Se Ste A
Grand Rapids MI 49546-3808
Phone: (616) 954-0950
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 3630-29-3657 | Indiana |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 5501303207 | Michigan |
Profile Details
NPI number | 1770049595 |
---|---|
LBN Legal business name | Boss, Luke Isaac |
Credentials | |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2019 |
Last updated | Feb 8th, 2024 - about 10 months 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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