Boharski, David C
Boharski, David C is an individual health care provider with primary practice located at 1411 9Th St S , Great Falls MT 59405-4503. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is his primary health care specialty. Boharski, David C can be contacted via phone (406) 454-2171.Contact Information
Primary practice address
1411 9Th St S
Great Falls MT 59405-4503
Phone: (406) 454-2171
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN24307 | Montana |
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | 24307 | Montana |
Profile Details
| NPI number | 1740283456 |
|---|---|
| LBN Legal business name | Boharski, David C |
| Credentials | CRNA, FNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2005 |
| Last updated | Dec 23rd, 2009 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1740283456 | NPPES |
| Montana | MEDICAID | 4305318 |
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