Boender, Debra R.
Boender, Debra R. is an sole proprietor health care provider with primary practice located at 26553 Mariners Rd , Crisfield MD 21817-2109. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Boender, Debra R. can be contacted via phone (443) 799-5500.Contact Information
Primary practice address
26553 Mariners Rd
Crisfield MD 21817-2109
Phone: (443) 799-5500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 01409 | Maryland |
Profile Details
| NPI number | 1851394027 |
|---|---|
| LBN Legal business name | Boender, Debra R. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2005 |
| Last updated | May 1st, 2017 - about 7 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 | 1851394027 | NPPES |
| Maryland | Other | 002485895002 | UNITED HEALTHCARE |
| Maryland | Other | RR DC9138 | UNITED HEALTHCARE |
| Maryland | Other | 01409 | UNITED HEALTHCARE |
| Maryland | Other | 201663779 | UNITED HEALTHCARE |
| Maryland | Other | 5373800001 | UNITED HEALTHCARE |
| Maryland | MEDICAID | 002216100 | UNITED HEALTHCARE |
| Maryland | Other | 201663779 | UNITED HEALTHCARE |
| Maryland | Other | 201663779 | UNITED HEALTHCARE |
| Maryland | Other | 606937400 | UNITED HEALTHCARE |
| Maryland | Other | 2137828 | UNITED HEALTHCARE |
| Maryland | Other | K4150001 | UNITED HEALTHCARE |
| Maryland | Other | 689BPO/644903-01 | UNITED HEALTHCARE |
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