Boerman, Heidi L
Boerman, Heidi L is an individual health care provider with primary practice located at Usa Meddac Attn: Credentials 11050 Mt Belvedere Blvd, Fort Drum NY 13602-5004. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boerman, Heidi L can be contacted via phone (315) 772-4025.Contact Information
Primary practice address
Usa Meddac Attn: Credentials 11050 Mt Belvedere Blvd
Fort Drum NY 13602-5004
Phone: (315) 772-4025
Fax: (315) 772-9498
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 001455 | Connecticut |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0110001442 | Virginia |
Profile Details
| NPI number | 1427048412 |
|---|---|
| LBN Legal business name | Boerman, Heidi L |
| Credentials | PA-C, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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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