Boreman, Craig Dean

Boreman, Craig Dean is an individual health care provider with primary practice located at 1010 Valley St , Dayton OH 45404. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Boreman, Craig Dean can be contacted via phone (937) 641-4000.

Contact Information

Primary practice address
1010 Valley St Dayton OH 45404
Phone: (937) 641-4000
Fax: (937) 641-4500
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 35077035 Ohio
Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics 2080P0006X 35077035 Ohio

Profile Details

NPI number 1588659015
LBN Legal business name Boreman, Craig Dean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2005
Last updated Oct 6th, 2023 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588659015 NPPES
Ohio MEDICAID 0109505

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