Boller, Ketti R
Boller, Ketti R is an sole proprietor health care provider with primary practice located at 9535 W 144Th Pl , Orland Park IL 60462-2556. She recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as her primary health care specialty. Boller, Ketti R can be contacted via phone (708) 403-2288.Contact Information
Primary practice address
9535 W 144Th Pl
Orland Park IL 60462-2556
Phone: (708) 403-2288
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 021.002483 | Illinois |
Profile Details
| NPI number | 1255682662 |
|---|---|
| LBN Legal business name | Boller, Ketti R |
| Credentials | D.D.S, M.S |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 25th, 2012 |
| Last updated | Sep 25th, 2012 - about 14 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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