De Boer, Jack

De Boer, Jack is an individual health care provider with primary practice located at 2036 Chesaning Dr Se , Grand Rapids MI 49506-5309. He recently has 3 registered licenses in different health care specialties including Speech, Language and Hearing Service Providers / Audiologist, Speech, Language and Hearing Service Providers / Assistive Technology Practitioner, Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter. Speech, Language and Hearing Service Providers / Audiologist is his primary health care specialty. De Boer, Jack can be contacted via phone (616) 819-3070.

Contact Information

Primary practice address
2036 Chesaning Dr Se Grand Rapids MI 49506-5309
Phone: (616) 819-3070
Fax: (616) 819-3239
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X 1601000343 Michigan
Speech, Language and Hearing Service Providers / Assistive Technology Practitioner 231HA2400X 1601000342 Michigan
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000343 Michigan

Profile Details

NPI number 1750535373
LBN Legal business name De Boer, Jack
Credentials CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2008
Last updated Nov 10th, 2008 - about 18 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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