Boeckman, Marysia Adele
Boeckman, Marysia Adele is an sole proprietor health care provider with primary practice located at 11105 Knott Ave Suite A, Cypress CA 90630-5137. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as her primary health care specialty. Boeckman, Marysia Adele can be contacted via phone (714) 893-7399.Contact Information
Primary practice address
11105 Knott Ave Suite A
Cypress CA 90630-5137
Phone: (714) 893-7399
Fax: (714) 893-7389
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT 37359 | California |
Profile Details
NPI number | 1568765501 |
---|---|
LBN Legal business name | Boeckman, Marysia Adele |
Credentials | DPT |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 14th, 2010 |
Last updated | Jan 30th, 2013 - about 12 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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