Boelkins, Bradley Mark

Boelkins, Bradley Mark is an individual health care provider with primary practice located at 3271 Clear Vista Ct Ne , Grand Rapids MI 49525-9477. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Boelkins, Bradley Mark can be contacted via phone (616) 267-7125.

Contact Information

Primary practice address
3271 Clear Vista Ct Ne Grand Rapids MI 49525-9477
Phone: (616) 267-7125
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 4301502619 Michigan
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 4301502619 Michigan

Profile Details

NPI number 1073908091
LBN Legal business name Boelkins, Bradley Mark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2015
Last updated Jun 28th, 2021 - about 5 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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