DONALD BOOMGAARD - NPI 1811448947 - Rehabilitation Practitioner in Grand Rapids, MI

Q: What is Donald Boomgaard's NPI number?

The NPI number for Donald Boomgaard is 1811448947. It was assigned to this individual provider in the NPPES registry on October 24, 2016.

Q: What is Donald Boomgaard's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

Q: When was this NPI record last updated?

The NPPES record for Donald Boomgaard was last updated on October 24, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Donald Boomgaard NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DONALD BOOMGAARD (NPI 1811448947) is an individual rehabilitation practitioner in Grand Rapids, Michigan and active in the NPI registry since October 2016.

NPPES Registry Identity

NPI1811448947

Entity TypeIndividualMale

Primary Taxonomy225400000X

Provider Legal NameDONALD BOOMGAARD

Location Address1490 E BELTLINE AVE SEGrand Rapids, MI 49506-4336

Mailing Address1490 E Beltline Ave SeGrand Rapids, MI 49506-4336 · (616) 940-0040

Phone(616) 940-0040

Sole ProprietorYes

Enumeration DateOctober 24, 2016

✔ NPI 1811448947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225400000X

Definition

A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.

1490 E BELTLINE AVE SE, Grand Rapids, MI 49506

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RICHARD KEITH SMEDLEY RMA

Technician (Personal Care Attendant)