Boersma, Dorothy C
Boersma, Dorothy C is an individual health care provider with primary practice located at 401 E 34Th St , Indianapolis IN 46205-3754. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boersma, Dorothy C can be contacted via phone (317) 926-1507.Contact Information
Primary practice address
401 E 34Th St
Indianapolis IN 46205-3754
Phone: (317) 926-1507
Fax: (317) 926-1508
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01028107 | Indiana |
Profile Details
| NPI number | 1174544530 |
|---|---|
| LBN Legal business name | Boersma, Dorothy C |
| Credentials | MD, MPH |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Oct 24th, 2016 - about 9 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 | 1174544530 | NPPES |
| Other | 46698002 | MEDICARE | |
| MEDICAID | 100216190 | MEDICARE |
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