Boersma, Judy G

Boersma, Judy G is an sole proprietor health care provider with primary practice located at 173 Schan Dr , Churchville PA 18966-1619. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Boersma, Judy G can be contacted via phone (215) 485-3205.

Contact Information

Primary practice address
173 Schan Dr Churchville PA 18966-1619
Phone: (215) 485-3205
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X AT000690L Pennsylvania

Profile Details

NPI number 1124347414
LBN Legal business name Boersma, Judy G
Credentials AUDIOLOGIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2010
Last updated May 26th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1124347414 NPPES
Pennsylvania Other AT000690L PA AUDIOLOGY LICENSE
Pennsylvania Other 2009007983 PA AUDIOLOGY LICENSE
Pennsylvania Other 41YA00072600 PA AUDIOLOGY LICENSE

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