Boerckel, Samuel

Boerckel, Samuel is an individual health care provider with primary practice located at 2332 Alpine Ave Nw , Grand Rapids MI 49544-1955. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boerckel, Samuel can be contacted via phone (616) 391-6220.

Contact Information

Primary practice address
2332 Alpine Ave Nw Grand Rapids MI 49544-1955
Phone: (616) 391-6220
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601010664 Michigan

Profile Details

NPI number 1538801451
LBN Legal business name Boerckel, Samuel
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2022
Last updated Aug 10th, 2022 - about 4 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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