Boersma, Ronald B

Boersma, Ronald B is an individual health care provider with primary practice located at 310 Sterling Drive , Orchard Park NY 14127-1718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boersma, Ronald B can be contacted via phone (716) 677-6800.

Contact Information

Primary practice address
310 Sterling Drive Orchard Park NY 14127-1718
Fax: (716) 712-0159
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 104448 New York

Profile Details

NPI number 1003850876
LBN Legal business name Boersma, Ronald B
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Feb 2nd, 2011 - about 13 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 1003850876 NPPES
New York MEDICAID 00589886
New York Other P00275983

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