Bofshever, Harley J

Bofshever, Harley J is an sole proprietor health care provider with primary practice located at 4213 W Hillsboro Blvd , Coconut Creek FL 33073-3210. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Bofshever, Harley J can be contacted via phone (954) 246-3336.

Contact Information

Primary practice address
4213 W Hillsboro Blvd Coconut Creek FL 33073-3210
Phone: (954) 246-3336
Fax: (954) 426-0643
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH6868 Florida

Profile Details

NPI number 1881690428
LBN Legal business name Bofshever, Harley J
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 27th, 2005
Last updated Apr 7th, 2015 - about 10 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 1881690428 NPPES
Florida MEDICAID 380766500
Florida Other 55245

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