Boardman Family Practice Pllc, NPI 1740564681
Rural Health Clinic/Center in South Boardman, MI, US
NPI number: what is it?
The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
| NPI | 1740564681 |
| NPI Entity Type | Organization |
| Provider Name | Boardman Family Practice Pllc |
| Enumeration Date | September 30, 2009 |
| Last Update Date | September 30, 2009 |
| Provider Location Address | 4713 Pine St Sw, South Boardman, MI, US |
| Provider Mailing Address | 4713 Pine St Sw, South Boardman, MI, US, 496809761 |
| Is Sole Proprietor? | No |
Organization Official
| Official Name | PA Todd Kreykes |
| Official Position | OWNER |
| Phone | 231-624-1054 |
Group Taxonomy
| Taxonomy Code | 193400000X |
| Taxonomy Name | 193400000X MULTIPLE SINGLE SPECIALTY GROUP |
| Definition | A business group of one or more individual practitioners, all of who practice with the same area of specialization. |
Primary Taxonomy
| Taxonomy Code | |
| Taxonomy Name | Rural Health Clinic/Center |
| Classification | |
| Group | |
| Description | Definition to come... |
Secondary Taxonomies
| Taxonomy Code | Group | Classification | License No. | State | Primary? |
|---|---|---|---|---|---|
| 5101013379 | MI | No | |||
| 5601002729 | MI | No |
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