Boersma, Nicole Suzanne

Boersma, Nicole Suzanne is an individual health care provider with primary practice located at 718 N Lincoln St , Greensburg IN 47240-1348. She recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as her primary health care specialty. Boersma, Nicole Suzanne can be contacted via phone (812) 662-0588.

Contact Information

Primary practice address
718 N Lincoln St Greensburg IN 47240-1348
Phone: (812) 662-0588
Fax: (812) 663-1155
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X 01062609A Indiana

Profile Details

NPI number 1598981391
LBN Legal business name Boersma, Nicole Suzanne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 18th, 2007
Last updated Mar 7th, 2016 - about 10 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1598981391 NPPES
Indiana MEDICAID 200889340
Indiana Other P01447581

Popular Providers