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:
Health care specialties
| Specialty | Code | License # | 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 9 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 | 1881690428 | NPPES |
| Florida | MEDICAID | 380766500 | |
| Florida | Other | 55245 |
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