Boersma, Melisa G

Boersma, Melisa G is an individual health care provider with primary practice located at 8700 N Green Hills Rd , Kansas City MO 64154. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Boersma, Melisa G can be contacted via phone (913) 574-2520.

Contact Information

Primary practice address
8700 N Green Hills Rd Kansas City MO 64154
Phone: (913) 574-2520
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 2019033211 Missouri

Profile Details

NPI number 1104048933
LBN Legal business name Boersma, Melisa G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Oct 9th, 2019 - about 5 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 1104048933 NPPES
Oklahoma MEDICAID 200123050A

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