Boneschansker, Johan Hendrik Leonard

Boneschansker, Johan Hendrik Leonard is an individual health care provider with primary practice located at 55 Lake Ave N , Worcester MA 01655-0002. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Boneschansker, Johan Hendrik Leonard can be contacted via phone (508) 334-3068.

Contact Information

Primary practice address
55 Lake Ave N Worcester MA 01655-0002
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 282680 Massachusetts

Profile Details

NPI number 1124474028
LBN Legal business name Boneschansker, Johan Hendrik Leonard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2016
Last updated Dec 8th, 2023 - about 2 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 1124474028 NPPES
Massachusetts MEDICAID 110116193A

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