Boraski, Jonathan Charles

Boraski, Jonathan Charles is an individual health care provider with primary practice located at 1111 Medical Center Blvd Ste S 640, Marrero LA 70072-3151. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Boraski, Jonathan Charles can be contacted via phone (504) 349-6460.

Contact Information

Primary practice address
1111 Medical Center Blvd Ste S 640 Marrero LA 70072-3151
Phone: (504) 349-6460
Fax: (504) 349-6463
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD.019995 Louisiana

Profile Details

NPI number 1245231612
LBN Legal business name Boraski, Jonathan Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 9th, 2005
Last updated May 11th, 2010 - about 14 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 1245231612 NPPES
Louisiana MEDICAID 1382221

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