Boardman, Warren Elliot
Boardman, Warren Elliot is an individual health care provider with primary practice located at 75 Chestnut St , Ridgewood NJ 07450-2501. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Boardman, Warren Elliot can be contacted via phone (201) 445-4808.Contact Information
Primary practice address
75 Chestnut St
Ridgewood NJ 07450-2501
Phone: (201) 445-4808
Fax: (201) 445-2040
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 22DI01753200 | New Jersey |
Dental Providers / Dentist | 122300000X | 22DI01753200 | New Jersey |
Profile Details
NPI number | 1427096924 |
---|---|
LBN Legal business name | Boardman, Warren Elliot |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 4th, 2006 |
Last updated | Apr 25th, 2016 - about 9 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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