Boore, Heather A

Boore, Heather A is an individual health care provider with primary practice located at 420 Ne Glen Oak Ave Suite 401, Peoria IL 61603. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boore, Heather A can be contacted via phone (309) 624-9844.

Contact Information

Primary practice address
420 Ne Glen Oak Ave Suite 401 Peoria IL 61603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 364SP0200X 209013697 Illinois

Profile Details

NPI number 1083062285
LBN Legal business name Boore, Heather A
Credentials APN, CNS-BC
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2016
Last updated Oct 21st, 2016 - about 8 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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