Leung, Boaz Y

Leung, Boaz Y is an individual health care provider with primary practice located at 94 Old Mill Rd , Martinsburg WV 25401-9284. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Leung, Boaz Y can be contacted via phone (304) 264-8933.

Contact Information

Primary practice address
94 Old Mill Rd Martinsburg WV 25401-9284
Phone: (304) 264-8933
Fax: (304) 264-8846
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X AC000362 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 71474 West Virginia

Profile Details

NPI number 1770520967
LBN Legal business name Leung, Boaz Y
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 31st, 2006
Last updated Apr 12th, 2010 - about 15 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 1770520967 NPPES
West Virginia MEDICAID 3810009996
West Virginia MEDICAID 410478100

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