Boutell, Matthew James
Boutell, Matthew James is an individual health care provider with primary practice located at 2680 Leonard St. Ne , Grand Rapids MI 49525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boutell, Matthew James can be contacted via phone (616) 224-1515.Contact Information
Primary practice address
2680 Leonard St. Ne
Grand Rapids MI 49525
Phone: (616) 224-1515
Fax: (616) 224-2070
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 4301081178 | Michigan |
Profile Details
| NPI number | 1043210818 |
|---|---|
| LBN Legal business name | Boutell, Matthew James |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 22nd, 2005 |
| Last updated | Sep 17th, 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.
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