DAVID CRAIG BOERSMA


Address: 703 Ball Ave Ne, Grand Rapids, MI 49503-1307
Phone: 6167740207

DAVID CRAIG BOERSMA (NPI# 1942535323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1942535323
Entity Type Individual
Full Name DAVID CRAIG BOERSMA
Credential PHD
Practice Address 703 Ball Ave Ne
Grand Rapids
MI 49503-1307
Practice Telephone 6167740207
Practice Fax Number 6166326361
Mailing Telephone 6167740207
Mailing Fax Number 6166326361
Enumeration Date 2009-10-02
Last Update Date 2009-10-02
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TF0200X Psychologist
Specialization: Forensic
6301006074 MI Behavioral Health & Social Service Providers

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Office Location

Street Address 703 BALL AVE NE
City GRAND RAPIDS
State MI
Zip Code 49503-1307

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Taxonomy Information

Taxonomy Code 103TF0200X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Forensic

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

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1952856908 Joshua Eblin Psychologist 8303 Platt Rd, Saline, MI 48176-9773 2016-08-19
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Competitor

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City GRAND RAPIDS
Zip Code 49503

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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