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Contact Information

ALAN R BOERGER, PhD
1440 W MAIN ST
TIPP CITY, OH45371-2804
 Phone: 937-667-4612
 Fax: 937-667-6479
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for ALAN R BOERGER · (Male)

NPI Number 1023041514
Status Active
Credentials PhD
Entity Individual
Enumeration date 07/08/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • OH License # 2142
  • OH Medicaid 0414886
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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