Boardman, Jay
Boardman, Jay is an individual health care provider with primary practice located at 13755 N Litchfield Rd Ste 105 , Surprise AZ 85379-4288. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Boardman, Jay can be contacted via phone (623) 322-5900.Contact Information
Primary practice address
13755 N Litchfield Rd Ste 105
Surprise AZ 85379-4288
Phone: (623) 322-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | ||
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 7273 | Arizona |
Profile Details
| NPI number | 1659854677 |
|---|---|
| LBN Legal business name | Boardman, Jay |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2018 |
| Last updated | May 22nd, 2023 - about 3 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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