Bockoven, Kurt M
Bockoven, Kurt M is an individual health care provider with primary practice located at 6130 E Brown Rd , Mesa AZ 85205-4960. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Bockoven, Kurt M can be contacted via phone (480) 807-3554.Contact Information
Primary practice address
6130 E Brown Rd
Mesa AZ 85205-4960
Phone: (480) 807-3554
Fax: (480) 807-8330
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 6560184-4405 | Utah |
Profile Details
| NPI number | 1154361459 |
|---|---|
| LBN Legal business name | Bockoven, Kurt M |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Nov 4th, 2019 - about 7 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 | 1154361459 | NPPES |
| Tennessee | MEDICAID | 3904060 | |
| Tennessee | MEDICAID | 1205957131 |
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