Boersma, Mark Edward

Boersma, Mark Edward is an individual health care provider with primary practice located at 503 Mcmillan Rd , West Monroe LA 71291-5327. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Boersma, Mark Edward can be contacted via phone (318) 329-4744.

Contact Information

Primary practice address
503 Mcmillan Rd West Monroe LA 71291-5327
Phone: (318) 329-4744
Fax: (318) 329-4719
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.021951 Louisiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.021951 Louisiana

Profile Details

NPI number 1518104439
LBN Legal business name Boersma, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 14th, 2009
Last updated Jul 31st, 2013 - about 11 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 1518104439 NPPES
Louisiana MEDICAID 1689483

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