Blas-Boria, Juan C.

Blas-Boria, Juan C. is an individual health care provider with primary practice located at 252 S 4Th St , Lebanon PA 17042-6111. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Body Imaging, Allopathic & Osteopathic Physicians / Diagnostic Ultrasound, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Blas-Boria, Juan C. can be contacted via phone (717) 270-7732.

Contact Information

Primary practice address
252 S 4Th St Lebanon PA 17042-6111
Phone: (717) 270-7732
Fax: (717) 270-7639
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD418251 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Ultrasound 2085U0001X MD418251 Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD418251 Pennsylvania

Profile Details

NPI number 1205881018
LBN Legal business name Blas-Boria, Juan C.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Dec 28th, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205881018 NPPES
Pennsylvania MEDICAID 101397030

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