Boreman, Craig Dean
Boreman, Craig Dean is an individual health care provider with primary practice located at 3810 Polo Trace Ct , Bellbrook OH 45305-1889. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is his primary health care specialty. Boreman, Craig Dean can be contacted via phone (937) 768-5597.Contact Information
Primary practice address
3810 Polo Trace Ct
Bellbrook OH 45305-1889
Phone: (937) 768-5597
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 35077035 | Ohio |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 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 | May 18th, 2026 - about 5 months 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 | 1588659015 | NPPES |
| Ohio | MEDICAID | 0109505 |
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