Mark Boshaw, B.S. CADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

799 Hombach St
Suite 2
Saint Ignace, MI 49781-1735

Phone

(906) 643-0944

Fax

(906) 984-4400

NPI assigned

May 11, 2017

Last updated

May 11, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Science

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1962938795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 S 4TH ST",
            "address_2": "SUITE C",
            "city": "ISHPEMING",
            "state": "MI",
            "postal_code": "498492168",
            "telephone_number": "906-225-9699",
            "fax_number": "906-228-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "799 HOMBACH ST",
            "address_2": "SUITE 2",
            "city": "SAINT IGNACE",
            "state": "MI",
            "postal_code": "497811735",
            "telephone_number": "906-643-0944",
            "fax_number": "906-984-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOSHAW",
        "first_name": "MARK",
        "credential": "B.S. CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara Belonga
• Jeffrey A Bender, M.D.
• Darrin J Benzing, M.D.
• Jamie Lyn Benzing, FNP-C
• Amy G Bolmer, D.O.
• Zachary Adrian Brian, D.M.D.
• Bobbiejo M Briggs
• Loni Brown, RN
• Sara Jane Brown
• Lauren Kaye Buhr, MD

• Addiction (Substance Use Disorder) Counselor in Saint Ignace, MI
• Providers in Saint Ignace, MI by specialty
• Addiction (Substance Use Disorder) Counselor in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.