Boreson, Emma

Boreson, Emma is an individual health care provider with primary practice located at 110 W Broadway Ste 202 , Williston ND 58801-6056. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Boreson, Emma can be contacted via phone (701) 774-6300.

Contact Information

Primary practice address
110 W Broadway Ste 202 Williston ND 58801-6056
Phone: (701) 774-6300
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 4824 North Dakota

Profile Details

NPI number 1760852982
LBN Legal business name Boreson, Emma
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2015
Last updated Sep 30th, 2015 - about 9 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 1760852982 NPPES
North Dakota MEDICAID 1450578

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