Boersma, Kimberly A

Boersma, Kimberly A is an sole proprietor health care provider with primary practice located at 411 E Congress Pkwy Suite B, Crystal Lake IL 60014-6247. She recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as her primary health care specialty. Boersma, Kimberly A can be contacted via phone (815) 459-3810.

Contact Information

Primary practice address
411 E Congress Pkwy Suite B Crystal Lake IL 60014-6247
Phone: (815) 459-3810
Fax: (815) 356-3550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 150.011243 Illinois

Profile Details

NPI number 1235389487
LBN Legal business name Boersma, Kimberly A
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 24th, 2008
Last updated Sep 24th, 2008 - about 16 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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