Boberg, Jeffrey Steven

Boberg, Jeffrey Steven is an individual health care provider with primary practice located at 9323 Phoenix Village Pkwy , O Fallon MO 63368-4281. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery is his primary health care specialty. Boberg, Jeffrey Steven can be contacted via phone (636) 561-0871.

Contact Information

Primary practice address
9323 Phoenix Village Pkwy O Fallon MO 63368-4281
Phone: (636) 561-0871
Fax: (636) 561-5032
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 000570 Missouri
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 000570 Missouri

Profile Details

NPI number 1437264595
LBN Legal business name Boberg, Jeffrey Steven
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2006
Last updated May 10th, 2021 - about 3 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1437264595 NPPES
Missouri MEDICAID 302436829
Missouri Other 5031350001
Missouri Other P00081678
Missouri Other 5031350002

Popular Providers