Boatman, Douglas
Boatman, Douglas is an individual health care provider with primary practice located at 1948 1St Ave Ne , Cedar Rapids IA 52402-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Boatman, Douglas can be contacted via phone (319) 364-0121.Contact Information
Primary practice address
1948 1St Ave Ne
Cedar Rapids IA 52402-5321
Phone: (319) 364-0121
Fax: (319) 364-5684
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 18759 | Iowa |
Profile Details
| NPI number | 1770589590 |
|---|---|
| LBN Legal business name | Boatman, Douglas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 27th, 2005 |
| Last updated | Sep 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770589590 | NPPES |
| Iowa | MEDICAID | 5302810 |
Popular Providers
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Neff, William R
1948 1St Ave Ne , Cedar Rapids IA 52402-5321 -
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1948 1St Ave Ne , Cedar Rapids IA 52402-5321