Boeckman, Andrea D

Boeckman, Andrea D is an individual health care provider with primary practice located at N2950 State Road 67 , Lake Geneva WI 53147-2655. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Boeckman, Andrea D can be contacted via phone (262) 245-0535.

Contact Information

Primary practice address
N2950 State Road 67 Lake Geneva WI 53147-2655
Phone: (262) 245-0535
Fax: (262) 245-2248
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 49227 Wisconsin

Profile Details

NPI number 1194882514
LBN Legal business name Boeckman, Andrea D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Nov 8th, 2023 - about 2 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 1194882514 NPPES
Wisconsin MEDICAID 35343400

Popular Providers