Bomgaars, David Nicholas

Bomgaars, David Nicholas is an individual health care provider with primary practice located at 6245 Inkster Rd , Garden City MI 48135-4001. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Other Service Providers / Health Educator, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Bomgaars, David Nicholas can be contacted via phone (734) 458-3412.

Contact Information

Primary practice address
6245 Inkster Rd Garden City MI 48135-4001
Phone: (734) 458-3412
Fax: (734) 677-7407
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301070875 Michigan
Other Service Providers / Health Educator 174H00000X 4301070875 Michigan
Allopathic & Osteopathic Physicians / General Practice 208D00000X 4301070875 Michigan

Profile Details

NPI number 1144259086
LBN Legal business name Bomgaars, David Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 2nd, 2006
Last updated Jul 6th, 2015 - about 10 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 1144259086 NPPES
Michigan Other 3108298622 BCBS INDIVIDUAL PIN #
Michigan Other 300H220260 BCBS INDIVIDUAL PIN #
Michigan MEDICAID 4514997 BCBS INDIVIDUAL PIN #

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