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Contact Information

DAVID C BOERSMA, PHD
703 BALL AVE NE
GRAND RAPIDS, MI49503-1307
 Phone: 616-774-0207
 Fax: 616-632-6361
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Forensic

103TF0200X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for DAVID C BOERSMA · (Male)

NPI Number 1942535323
Status Active
Credentials PHD
Entity Individual
Enumeration date 10/02/2009
Last updated 10/02/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 6301006074
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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