Timothy W Boersma is a General Practice in , . Timothy W Boersma practices all healthcare services and medical treatments related to General Practice. The NPI Number for Timothy W Boersma is 1942244926. The last update date is 2022-09-02.
Timothy W Boersma's current location address is , , . You can contact this provider via phone number . The mailing address for Timothy W Boersma is , , . To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy W Boersma |
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Address | , , |
Phone Number | |
Fax Number | |
Sole Proprietor | N |
Credentials | DO |
NPI Number Detail
NPI Number | 1942244926 |
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Provider Enumeration Date | 2006-06-16 |
Last Updated Date | 2022-09-02 |
Provider Mailing Address Detail
Address | |
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City | |
State | () |
Post Code | |
Phone Number | |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 208D00000X |
Licence No | DR.0061598 |
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
113686306 | TX | -- | |
1136863 | TX | -- | |
75-2616977-066 | TX | TRICARE | |
8DZ891 | TX | BCBS | |
8F5719 | TX | BCBS | |
9000173087 | CO | -- | |
113686305 | TX | -- | |
P01092668 | TX | RAIL ROAD |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Timothy W Boersma by the Centers for Medicare & Medicaid Services?
The Timothy W Boersma has been issued the NPI (National Provider Identifier) 1942244926, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Timothy W Boersma?
The Timothy W Boersma is situated at , in the city of , state of , with the zip code .
What is Timothy W Boersma's specialized field of practice, and what is the corresponding taxonomy classification code?
The Timothy W Boersma's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 208D00000X.
On what date did Timothy W Boersma receive its 1942244926 assignment from the Centers for Medicare & Medicaid Services?
The Timothy W Boersma was assigned its 1942244926 on 2006-06-16, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Timothy W Boersma's details last updated?
The information pertaining to the Timothy W Boersma, including its address, specialty, and other details, was most recently updated on 2022-09-02.