Bouknight, Reynard Ronald
Bouknight, Reynard Ronald is an individual health care provider with primary practice located at 4650 S Hagadorn Rd Ste 100 , East Lansing MI 48823-5386. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Bouknight, Reynard Ronald can be contacted via phone (517) 353-4830.Contact Information
Primary practice address
4650 S Hagadorn Rd Ste 100
East Lansing MI 48823-5386
Phone: (517) 353-4830
Fax: (517) 432-2134
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 4301039177 | Michigan |
Profile Details
| NPI number | 1962444307 |
|---|---|
| LBN Legal business name | Bouknight, Reynard Ronald |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 11th, 2006 |
| Last updated | Jun 28th, 2023 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962444307 | NPPES |
| Michigan | MEDICAID | 1821251208 | |
| Michigan | MEDICAID | 1347358 |
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