Boreman, Craig Dean
Boreman, Craig Dean is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Boreman, Craig Dean can be contacted via phone (937) 641-4000.Contact Information
Primary practice address
1010 Valley St
Dayton OH 45404
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 35077035 | Ohio |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 35077035 | Ohio |
Profile Details
| NPI number | 1588659015 |
|---|---|
| LBN Legal business name | Boreman, Craig Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2005 |
| Last updated | Oct 6th, 2023 - about last year |
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 | 1588659015 | NPPES |
| Ohio | MEDICAID | 0109505 |
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