Boersma, Holly Ann

Boersma, Holly Ann is an individual health care provider with primary practice located at 850 Brook Forest Ave Ste. I, Shorewood IL 60431-8513. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Boersma, Holly Ann can be contacted via phone (815) 725-4919.

Contact Information

Primary practice address
850 Brook Forest Ave Ste. I Shorewood IL 60431-8513
Phone: (815) 725-4919
Fax: (815) 725-9449
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X Illinois

Profile Details

NPI number 1912013269
LBN Legal business name Boersma, Holly Ann
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2006
Last updated Jul 8th, 2007 - about 19 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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