Boden, Stephen Richard
Boden, Stephen Richard is an individual health care provider with primary practice located at 390 N Main St , Bountiful UT 84010-6046. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Boden, Stephen Richard can be contacted via phone (801) 397-6300.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 12974480-1205 | Utah |
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 12974480-1205 | Utah |
Profile Details
NPI number | 1700878691 |
---|---|
LBN Legal business name | Boden, Stephen Richard |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Aug 17th, 2005 |
Last updated | Mar 1st, 2023 - about last year |
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 | 1700878691 | NPPES |
Utah | MEDICAID | 4128124 | |
Utah | Other | LD948 | |
Utah | MEDICAID | 102859200 |
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