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Nicole M. Bossenbroek

Dermatopathologist

6225 Prairie St
Norton Shores , Michigan 49444-7831

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Nicole M. Bossenbroek

Dermatopathologist

6225 Prairie St
Norton Shores , Michigan 49444-7831

(231) 798-9533

Write a Review Save Call

Nicole M. Bossenbroek

Dermatopathologist

6225 Prairie St
Norton Shores , Michigan 49444-7831

(231) 798-9533 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Dermatopathologist

Languages spoken

  • English

Location

6225 Prairie St Norton Shores , Michigan 49444-7831

First Address

  • Nicole M. Bossenbroek
  • 6225 Prairie St
  • Norton Shores, MI
  • Zip : 49444-7831
  • Fax : (231) 798-9533
  • Phone : (231) 798-9500

Second Address

  • Nicole M. Bossenbroek
  • 6225 Prairie St
  • Norton Shores, MI
  • Zip : 49444-7831
  • Fax : (231) 798-9533
  • Phone : (231) 798-9500

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FAQs


Where did Nicole M. Bossenbroek attend graduate school?

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Where did Nicole M. Bossenbroek do her residency?

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Where did Nicole M. Bossenbroek do her fellowship?

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Is Nicole M. Bossenbroek board certified?

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What type of doctor is Nicole M. Bossenbroek

Dermatopathologist

In what state does Nicole M. Bossenbroek practice in?

Michigan

Where is Nicole M. Bossenbroek ’s practice located?

6225 Prairie St , Norton Shores, Michigan, 49444-7831

What is Nicole M. Bossenbroek ’s gender?

Female

Is Nicole M. Bossenbroek a sole practitioner?

No

Is Nicole M. Bossenbroek accepting new patients?

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What languages does Nicole M. Bossenbroek speak?

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Does Nicole M. Bossenbroek accept insurance?

Yes, Nicole M. Bossenbroek accepts insurance

Does Nicole M. Bossenbroek offers telemedicine?

Nicole M. Bossenbroek has not indicated if she offers telemedicine

What is Nicole M. Bossenbroek ’s professional license number?

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What is Nicole M. Bossenbroek ’s NPI number?

1619909611

Does Nicole M. Bossenbroek have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 207ND0900X Dermatopathologist 046274 CT
N 207ND0900X Dermatopathologist 4301079716 MI

National Provider Identifier

NPI 1619909611
Provider Name Nicole M. Bossenbroek
First Address Norton Shores, MI 49444-7831
Second Address Norton Shores, MI 49444-7831
Gender F
NPI Entity type Individual
Is Sole Proprietor No
Is Organization Subpart N/A
Enumeration Date 07/07/2006
Last Update Date 16/02/2010

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
I69580 (02)

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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