Bouknight, Reynard Ronald

Bouknight, Reynard Ronald is an individual health care provider with primary practice located at 4650 S Hagadorn Rd Ste 100 , East Lansing MI 48823-5386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bouknight, Reynard Ronald can be contacted via phone (517) 353-4830.

Contact Information

Primary practice address
4650 S Hagadorn Rd Ste 100 East Lansing MI 48823-5386
Phone: (517) 353-4830
Fax: (517) 432-2134
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301039177 Michigan

Profile Details

NPI number 1962444307
LBN Legal business name Bouknight, Reynard Ronald
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 11th, 2006
Last updated Jun 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1962444307 NPPES
Michigan MEDICAID 1821251208
Michigan MEDICAID 1347358

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