Boardman, Steven A

Boardman, Steven A is an individual health care provider with primary practice located at 520 Valley View Dr , Moline IL 61265-6152. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Boardman, Steven A can be contacted via phone (309) 762-3621.

Contact Information

Primary practice address
520 Valley View Dr Moline IL 61265-6152
Phone: (309) 762-3621
Fax: (309) 762-3690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 036113720 Illinois
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 36130 Iowa
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 31297 Arizona

Profile Details

NPI number 1174501829
LBN Legal business name Boardman, Steven A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 4th, 2006
Last updated Jan 6th, 2011 - about 13 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 1174501829 NPPES
Other 91897 WELLMARK
MEDICAID 036113720 WELLMARK
Other 247583 WELLMARK
Other 526250 WELLMARK
Other P00244907 WELLMARK
Other 106804 WELLMARK
Other 8121085 WELLMARK
Other 91904 WELLMARK
Other IL01B8 WELLMARK
MEDICAID 0593806 WELLMARK
Other 39250 WELLMARK

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