Boxberger, Nicole Renee'

Boxberger, Nicole Renee' is an individual health care provider with primary practice located at 4061 Behrman Hwy , New Orleans LA 70114. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Boxberger, Nicole Renee' can be contacted via phone (504) 368-1990.

Contact Information

Primary practice address
4061 Behrman Hwy New Orleans LA 70114
Phone: (504) 368-1990
Fax: (504) 366-2319
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 5908 Louisiana
Dental Providers / Dentist 122300000X 2007014391 Missouri
Dental Providers / Pediatric Dentistry 1223P0221X 5908 Louisiana

Profile Details

NPI number 1376737866
LBN Legal business name Boxberger, Nicole Renee'
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2007
Last updated Feb 17th, 2017 - about 8 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 1376737866 NPPES
Louisiana MEDICAID 1859087

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