Provider Demographics
NPI:1588648711
Name:HARBOR POINT ORTHOPEDICS PC
Entity Type:Organization
Organization Name:HARBOR POINT ORTHOPEDICS PC
Other - Org Name:JAMES J BOES DO
Other - Org Type:Other Name
Authorized Official - Title/Position:ORTHOPAEDIC SURGEON OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:BOES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:906-786-7600
Mailing Address - Street 1:3409 LUDINGTON ST
Mailing Address - Street 2:STE 200
Mailing Address - City:ESCANABA
Mailing Address - State:MI
Mailing Address - Zip Code:49829-4212
Mailing Address - Country:US
Mailing Address - Phone:906-786-7600
Mailing Address - Fax:906-789-4490
Practice Address - Street 1:3409 LUDINGTON ST
Practice Address - Street 2:STE 200
Practice Address - City:ESCANABA
Practice Address - State:MI
Practice Address - Zip Code:49829-4212
Practice Address - Country:US
Practice Address - Phone:906-786-7600
Practice Address - Fax:906-789-4490
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-01
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIJB012421207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI2052100104OtherBCBS OF MI
MI3304556Medicaid
MI2052100104OtherBCBS OF MI
MIP09100001Medicare ID - Type Unspecified