Boksberger, Terry
Boksberger, Terry is an individual health care provider with primary practice located at 250 Central Ave N Suite 228, Wayzata MN 55391-1206. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boksberger, Terry can be contacted via phone (952) 993-8250.Contact Information
Primary practice address
250 Central Ave N Suite 228
Wayzata MN 55391-1206
Phone: (952) 993-8250
Fax: (952) 993-8276
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 5101016814 | Michigan |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 107105 | Minnesota |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 2011-00868 | North Carolina |
Profile Details
| NPI number | 1689867129 |
|---|---|
| LBN Legal business name | Boksberger, Terry |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 18th, 2007 |
| Last updated | Feb 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689867129 | NPPES |
| North Carolina | MEDICAID | 5919235 |
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