Boysen, Dennis

Boysen, Dennis is an individual health care provider with primary practice located at 900 Cooper Ave Suite 4400, Saginaw MI 48602-5182. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boysen, Dennis can be contacted via phone (989) 583-4401.

Contact Information

Primary practice address
900 Cooper Ave Suite 4400 Saginaw MI 48602-5182
Fax: (989) 583-4409
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 4301038980 Michigan

Profile Details

NPI number 1235156175
LBN Legal business name Boysen, Dennis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2006
Last updated Aug 18th, 2014 - about 11 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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Identifiers

StateTypeNumberIssuer
All States NPI 1235156175 NPPES
Michigan Other 120434 GREAT LAKES HEALTH PLAN
Michigan Other 0200212 GREAT LAKES HEALTH PLAN
Michigan Other 020011145 GREAT LAKES HEALTH PLAN
Michigan Other 020G361410 GREAT LAKES HEALTH PLAN
Michigan Other 381870664122 GREAT LAKES HEALTH PLAN
Michigan Other 1012201 GREAT LAKES HEALTH PLAN
Michigan Other 381870664 GREAT LAKES HEALTH PLAN
Michigan Other DB038980 GREAT LAKES HEALTH PLAN
Michigan Other 0730021 GREAT LAKES HEALTH PLAN
Michigan MEDICAID 1235156175 GREAT LAKES HEALTH PLAN

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