Boorstein, Jeffrey Marc
Boorstein, Jeffrey Marc is an individual health care provider with primary practice located at 2300 N Edward St , Decatur IL 62526-4163. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Boorstein, Jeffrey Marc can be contacted via phone (217) 876-2300.Contact Information
Primary practice address
2300 N Edward St
Decatur IL 62526-4163
Phone: (217) 876-2300
Fax: (217) 876-6725
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | Illinois | |
Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | Illinois |
Profile Details
NPI number | 1003862806 |
---|---|
LBN Legal business name | Boorstein, Jeffrey Marc |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 25th, 2006 |
Last updated | Jan 17th, 2008 - about 16 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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