Boonstra, Leslie A
Boonstra, Leslie A is an individual health care provider with primary practice located at 550 Cherry St Se , Grand Rapids MI 49503-4748. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boonstra, Leslie A can be contacted via phone (616) 235-7272.Contact Information
Primary practice address
550 Cherry St Se
Grand Rapids MI 49503-4748
Phone: (616) 235-7272
Fax: (616) 776-2122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 5601004592 | Michigan |
Profile Details
| NPI number | 1770618522 |
|---|---|
| LBN Legal business name | Boonstra, Leslie A |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 22nd, 2007 |
| Last updated | Dec 26th, 2012 - about 14 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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