Boren, Eric Jason

Boren, Eric Jason is an individual health care provider with primary practice located at 2121 17Th St , Bakersfield CA 93301-3704. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Boren, Eric Jason can be contacted via phone (661) 327-9693.

Contact Information

Primary practice address
2121 17Th St Bakersfield CA 93301-3704
Phone: (661) 327-9693
Fax: (661) 327-0749
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X A77407 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A774070 California

Profile Details

NPI number 1720067598
LBN Legal business name Boren, Eric Jason
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2006
Last updated Jul 31st, 2008 - about 18 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 1720067598 NPPES
California MEDICAID A774070

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