National Provider Identifier Database

JANE A BOERTMAN, PAC – NPI #1780732834
Surgical


Contact Information

JANE A BOERTMAN, PAC
22101 MOROSS RD
DETROIT, MI48236-2148
Phone: 313-343-7382
Fax:
Website:
Specialty Taxonomy Code
* Surgical 363AS0400X

* Indicates primary specialty

NPI Profile & details for JANE A BOERTMAN

NPI Number 1780732834
Credentials PAC
Entity Individual
Enumeration date 01/08/2007
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 Yes
Identifiers
  • MI License #: 5601002065
Hospital affiliation n/a

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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