Boxum, Michael Scott
Boxum, Michael Scott is an sole proprietor health care provider with primary practice located at 754 Mccool Rd , Valparaiso IN 46385-8856. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boxum, Michael Scott can be contacted via phone (219) 759-5500.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 02003170A | Indiana |
Profile Details
| NPI number | 1235105685 |
|---|---|
| LBN Legal business name | Boxum, Michael Scott |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 27th, 2006 |
| Last updated | Sep 24th, 2019 - 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 | 1235105685 | NPPES |
| Indiana | MEDICAID | 200860670A | |
| Indiana | Other | 000000524369 |
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