Bovenkerk, Stephen Dale

Bovenkerk, Stephen Dale is an individual health care provider with primary practice located at 2151 W Spring St Ste B120 , Monroe GA 30655-3210. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery, Allopathic & Osteopathic Physicians / Otolaryngology. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Bovenkerk, Stephen Dale can be contacted via phone (770) 207-0215.

Contact Information

Primary practice address
2151 W Spring St Ste B120 Monroe GA 30655-3210
Phone: (770) 207-0215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology/Facial Plastic Surgery 207YX0905X 5101015878 Michigan
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 82870 Georgia

Profile Details

NPI number 1760503171
LBN Legal business name Bovenkerk, Stephen Dale
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2007
Last updated Sep 27th, 2022 - about 3 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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