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
Phone: (716) 677-6800
Fax: (716) 712-0159
Website:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1003850876 | NPPES |
New York | MEDICAID | 00589886 | |
New York | Other | P00275983 |
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