Active NPIIndividual provider

Jan L Booysen

Pharmacist in Old Town, Maine

NPI Number1770878845
Practice location
302 Main St, Old Town, ME 04468-1535
Fax
207-827-3829
Last updated
June 16, 2011

Jan Louis Booysen is a Pharmacist based in Old Town, ME. Jan Louis Booysen practices in Old Town, ME. The NPI Number for Jan Louis Booysen is 1770878845 and holds a License No. PR5874 (ME). The current practice location address for Jan Louis Booysen is 302 Main St, Old Town, ME 04468-1535 and can be reached out via phone at 207-827-8021 and via fax at 207-827-3829.

Provider Profile Details

NPI Number
1770878845
Provider Name
Jan Louis Booysen
Provider Entity Type
Individual
Gender
Male
Address
302 Main St, Old Town, ME 04468-1535
Phone Number
207-827-8021
Fax Number
207-827-3829
Primary Taxonomy
Pharmacist · 183500000X
Sole Proprietor
No
Provider Enumeration Date
June 16, 2011
Last Update Date
June 16, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
302 Main St
Old Town, ME 04468-1535
State
Maine
Zip
04468-1535
Phone Number
207-827-8021
Fax Number
207-827-3829
Old Town, ME 04468Get directions →

Provider Business Mailing Address Details

Address
302 Main St
Old Town, ME 04468-1535
City
Old Town
State
ME
Zip
04468-1535
Phone Number
207-827-8021
Fax Number
207-827-3829

License Information

License Number
PR5874
License State
ME
Taxonomy
Pharmacist · 183500000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jan L Booysen?

The NPI number of Jan L Booysen is 1770878845. It was assigned on June 16, 2011 and is currently active in the NPPES registry.

What is the specialty of Jan L Booysen?

Jan L Booysen is registered under the primary taxonomy Pharmacist (code 183500000X), licensed in ME under license number PR5874.

Where does Jan L Booysen practice?

The practice location is 302 Main St, Old Town, ME 04468-1535. The office can be reached at 207-827-8021 (phone) or 207-827-3829 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770878845 directly on the NPPES registry website.

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