Boatman, Marcus

Boatman, Marcus is an individual health care provider with primary practice located at 1229 Lincoln Hwy , Van Wert OH 45891-1877. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boatman, Marcus can be contacted via phone (419) 238-1695.

Contact Information

Primary practice address
1229 Lincoln Hwy Van Wert OH 45891-1877
Phone: (419) 238-1695
Fax: (419) 238-1007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X I.2405294 Ohio

Profile Details

NPI number 1174170302
LBN Legal business name Boatman, Marcus
Credentials LISW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2019
Last updated May 30th, 2024 - about 2 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 1174170302 NPPES
Ohio MEDICAID 0367421
Ohio Other 16169669

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