Libster, Boris

Libster, Boris is an individual health care provider with primary practice located at 217 White Horse Pike , Haddon Heights NJ 08035-1703. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Libster, Boris can be contacted via phone (856) 547-1661.

Contact Information

Primary practice address
217 White Horse Pike Haddon Heights NJ 08035-1703
Phone: (856) 547-1661
Fax: (856) 547-6117
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MB04369000 New Jersey

Profile Details

NPI number 1659369122
LBN Legal business name Libster, Boris
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2005
Last updated May 26th, 2017 - about 9 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 1659369122 NPPES
New Jersey MEDICAID 109180803

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