Mark A Boomershine in East Lansing - Medical
Mark A Boomershine - NPI 1164617122
Mark A Boomershine is a Medical in East Lansing, Michigan. Mark A Boomershine practices all healthcare services and medical treatments related to Medical. The NPI Number for Mark A Boomershine is 1164617122. The last update date is 2023-03-07.
Mark A Boomershine's current location address is 3496 E Lake Lansing Rd, East Lansing, Michigan. You can contact this provider via phone number 5173330968 and fax number 5173334306. The mailing address for Mark A Boomershine is 3496 E Lake Lansing Rd, East Lansing, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark A Boomershine |
|---|---|
| Address | 3496 E Lake Lansing Rd, East Lansing, Michigan |
| Phone Number | 5173330968 |
| Fax Number | 5173334306 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1164617122 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 3496 E Lake Lansing Rd |
|---|---|
| City | East Lansing |
| State | Michigan (MI) |
| Post Code | 488232288 |
| Phone Number | 5173330968 |
| Fax Number | 5173334306 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 5601001393 |
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Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Post Comment/ Review Below
What is the unique identification code assigned to Mark A Boomershine by the Centers for Medicare & Medicaid Services?
The Mark A Boomershine has been issued the NPI (National Provider Identifier) 1164617122. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark A Boomershine is physically located?
The Mark A Boomershine is situated at the following address: 3496 E Lake Lansing Rd, East Lansing, MI 488232288.
What is Mark A Boomershine's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mark A Boomershine is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
When was the Mark A Boomershine's 1164617122 issued?
The Mark A Boomershine's 1164617122 was issued on 2007-09-12.
When was the Mark A Boomershine's information last updated?
The Mark A Boomershine's information was last updated on 2023-03-07.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN