Bouman, William Glenn
Bouman, William Glenn is an sole proprietor health care provider with primary practice located at 1141 High Point Dr. Nw , Grand Rapids MI 49544-7341. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Bouman, William Glenn can be contacted via phone (616) 785-8559.Contact Information
Primary practice address
1141 High Point Dr. Nw
Grand Rapids MI 49544-7341
Phone: (616) 785-8559
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 4301025391 | Michigan |
Profile Details
| NPI number | 1154675825 |
|---|---|
| LBN Legal business name | Bouman, William Glenn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 2nd, 2012 |
| Last updated | Nov 2nd, 2012 - about 13 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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