Boe, Justin Joel

Boe, Justin Joel is an individual health care provider with primary practice located at 1408 Glenolde Pl , Edmond OK 73003-2668. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Boe, Justin Joel can be contacted via phone (952) 595-1301.

Contact Information

Primary practice address
1408 Glenolde Pl Edmond OK 73003-2668
Phone: (952) 595-1301
Fax: (612) 294-4903
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A97272 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25546 Oklahoma
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A97272 California
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 44935 Kentucky

Profile Details

NPI number 1205925864
LBN Legal business name Boe, Justin Joel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 12th, 2006
Last updated Jun 24th, 2015 - about 10 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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