Boerner, John
Boerner, John is an individual health care provider with primary practice located at 3670 Parker Blvd Ste 101 , Pueblo CO 81008-2285. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Cardiology, which is considered as his primary health care specialty. Boerner, John can be contacted via phone (719) 564-1544.Contact Information
Primary practice address
3670 Parker Blvd Ste 101
Pueblo CO 81008-2285
Phone: (719) 564-1544
Fax: (719) 924-1593
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 25866 | Colorado |
Profile Details
| NPI number | 1811934474 |
|---|---|
| LBN Legal business name | Boerner, John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Aug 27th, 2013 - about 12 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 | 1811934474 | NPPES |
| Colorado | MEDICAID | 01258664 | |
| Colorado | Other | P00997262 |
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