Bovenberg, Maria Sarah Sophie
Bovenberg, Maria Sarah Sophie is an individual health care provider with primary practice located at 653 N Town Center Dr Ste 410 , Las Vegas NV 89144-0518. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatology. Allopathic & Osteopathic Physicians / Dermatology is her primary health care specialty. Bovenberg, Maria Sarah Sophie can be contacted via phone (702) 456-3120.Contact Information
Primary practice address
653 N Town Center Dr Ste 410
Las Vegas NV 89144-0518
Phone: (702) 456-3120
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 23802 | Nevada |
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 23802 | Nevada |
Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 23802 | Nevada |
Profile Details
NPI number | 1528590858 |
---|---|
LBN Legal business name | Bovenberg, Maria Sarah Sophie |
Credentials | MD, PHD |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 27th, 2017 |
Last updated | Feb 1st, 2024 - about 9 months 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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