Boudouris, William D
Boudouris, William D is an individual health care provider with primary practice located at 28595 Orchard Lake Rd Suite 200, Farmington Hills MI 48334-2977. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Boudouris, William D can be contacted via phone (248) 553-0010.Contact Information
Primary practice address
28595 Orchard Lake Rd Suite 200
Farmington Hills MI 48334-2977
Phone: (248) 553-0010
Fax: (248) 553-5957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 011985 | Michigan |
Profile Details
| NPI number | 1205806577 |
|---|---|
| LBN Legal business name | Boudouris, William D |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Feb 27th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205806577 | NPPES |
| Michigan | MEDICAID | 3376564 |
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