Boerner, Kenneth A
Boerner, Kenneth A is an individual health care provider with primary practice located at 2845 Bell St , Zanesville OH 43701-1720. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boerner, Kenneth A can be contacted via phone (740) 454-9766.Contact Information
Primary practice address
2845 Bell St
Zanesville OH 43701-1720
Phone: (740) 454-9766
Fax: (740) 588-6452
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I9219 | Ohio |
Profile Details
| NPI number | 1043348410 |
|---|---|
| LBN Legal business name | Boerner, Kenneth A |
| Credentials | LISW-S |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 28th, 2007 |
| Last updated | Apr 17th, 2018 - 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 | 1043348410 | NPPES |
| Ohio | MEDICAID | 0170334 |
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