Boersen, Michael
Boersen, Michael is an sole proprietor health care provider with primary practice located at 16 E Fern Ave Ste C , Redlands CA 92373-4000. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Boersen, Michael can be contacted via phone (909) 792-0074.Contact Information
Primary practice address
16 E Fern Ave Ste C
Redlands CA 92373-4000
Phone: (909) 792-0074
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Hearing Instrument Specialist | 237700000X | HA8045 | California |
Profile Details
| NPI number | 1417510249 |
|---|---|
| LBN Legal business name | Boersen, Michael |
| Credentials | BA, HAD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 17th, 2019 |
| Last updated | Oct 8th, 2019 - about 6 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 | 1417510249 | NPPES |
| Other | 14549148 | CAQH |
Popular Providers
-
Swede, Gene A
109 E 2Nd St , Redwood Falls MN 56283-1601 -
Bush, Omallah
1360 W State St , Alliance OH 44601-3613 -
Barrows, Marline
1408 Industrial Park Ave , Redlands CA 92374-4517 -
Wolf, Therese L
734 Alger St Se Ste 200, Grand Rapids MI 49507-3593 -
Marcus, Mitchell D.
8714 Lyndale Ave S , Bloomington MN 55420-2738 -
Jeffries, James William
255 Terracina Blvd Ste 201 , Redlands CA 92373-4881 -
Sexton, Michael A
2605 Kentucky Ave Dob 3, Suite 601, Paducah KY 42003-3800 -
Rosario Gonzalez, Jessica M
16 E Fern Ave Ste C, Redlands CA 92373-4000