Boerema, Cole

Boerema, Cole is an individual health care provider with primary practice located at 1965 Cliff Lake Rd , Eagan MN 55122-2590. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Dental Providers / Dentist. Dental Providers / Dentist is his primary health care specialty. Boerema, Cole can be contacted via phone (651) 452-4828.

Contact Information

Primary practice address
1965 Cliff Lake Rd Eagan MN 55122-2590
Phone: (651) 452-4828
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X Minnesota
Dental Providers / Dentist 122300000X D13366 Minnesota

Profile Details

NPI number 1295154250
LBN Legal business name Boerema, Cole
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 7th, 2014
Last updated Jul 1st, 2014 - about 11 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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