Search › Michigan › 231H00000X
Jack De Boer, CCC-A
NPI 1750535373 · on the registry since 2008
Practice
- Address
- 2036 Chesaning Dr Se
Grand Rapids, MI 49506 - Phone
- (616) 819-3070
- Fax
- (616) 819-3239
Registry record
- Primary taxonomy
- 231H00000X
231H00000X
- Also registered as
- 231HA2400X
237600000X - Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-11-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan