Boercker, Geoffrey Keith
Boercker, Geoffrey Keith is an sole proprietor health care provider with primary practice located at 1050 Larrabee Ave #104-Pmb 317, Bellingham WA 98225-7367. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Boercker, Geoffrey Keith can be contacted via phone (360) 220-1744.Contact Information
Primary practice address
1050 Larrabee Ave #104-Pmb 317
Bellingham WA 98225-7367
Phone: (360) 220-1744
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Behavioral Neurology & Neuropsychiatry | 2084B0040X | MD00026779 | Washington |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD00026779 | Washington |
Profile Details
| NPI number | 1457618662 |
|---|---|
| LBN Legal business name | Boercker, Geoffrey Keith |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 12th, 2012 |
| Last updated | Nov 9th, 2015 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457618662 | NPPES |
| Washington | MEDICAID | 1102243 | |
| Washington | Other | 0116494 |
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