Berejan, Boris
Berejan, Boris is an individual health care provider with primary practice located at 100 Brewster Blvd Naval Hospital, Camp Lejeune NC 28547-2538. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Berejan, Boris can be contacted via phone (910) 450-4159.Contact Information
Primary practice address
100 Brewster Blvd Naval Hospital
Camp Lejeune NC 28547-2538
Phone: (910) 450-4159
Fax: (910) 450-4194
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 200601041 | North Carolina |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 38470 | Wisconsin |
Profile Details
| NPI number | 1215999347 |
|---|---|
| LBN Legal business name | Berejan, Boris |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jan 18th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215999347 | NPPES |
| Wisconsin | Other | P00268123 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 32331700 | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | 5906740 | MEDICARE RAILROAD |
| Wisconsin | Other | 144KK | MEDICARE RAILROAD |
| Wisconsin | MEDICAID | Q0104F | MEDICARE RAILROAD |
| Wisconsin | Other | P00229728 | MEDICARE RAILROAD |
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