Boonstra, Todd

Boonstra, Todd is an individual health care provider with primary practice located at 8300 Westpark Way , Zeeland MI 49464-7901. 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. Boonstra, Todd can be contacted via phone (616) 748-5778.

Contact Information

Primary practice address
8300 Westpark Way Zeeland MI 49464-7901
Phone: (616) 748-5778
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA759 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5601003342 Michigan

Profile Details

NPI number 1679587661
LBN Legal business name Boonstra, Todd
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2006
Last updated Sep 10th, 2021 - 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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