Boeke, Jason

Boeke, Jason is an sole proprietor health care provider with primary practice located at 5383 Cemetery Rd , Hilliard OH 43026-1502. He recently has only one registered license in Pharmacy Service Providers / Pharmacist, which is considered as his primary health care specialty. Boeke, Jason can be contacted via phone (614) 771-7493.

Contact Information

Primary practice address
5383 Cemetery Rd Hilliard OH 43026-1502
Fax: (614) 771-7866
Website:

Health care specialties

SpecialtyCodeLicense #State
Pharmacy Service Providers / Pharmacist 183500000X 03127136 Ohio

Profile Details

NPI number 1235412198
LBN Legal business name Boeke, Jason
Credentials PHARM.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 27th, 2011
Last updated Sep 27th, 2011 - about 14 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1235412198 NPPES
Ohio MEDICAID 2734269

Popular Providers