Kowalis, Boone S.
Kowalis, Boone S. is an individual health care provider with primary practice located at 15752 Oakhill Ct , Livonia MI 48154-2613. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Kowalis, Boone S. can be contacted via phone (800) 447-6038.Contact Information
Primary practice address
15752 Oakhill Ct
Livonia MI 48154-2613
Phone: (800) 447-6038
Fax: (734) 542-4289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X |
Profile Details
| NPI number | 1023297884 |
|---|---|
| LBN Legal business name | Kowalis, Boone S. |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 29th, 2007 |
| Last updated | Oct 29th, 2007 - about 17 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 | 1023297884 | NPPES |
| Ohio | MEDICAID | 0323939 | |
| Ohio | MEDICAID | 4431900 |
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