Boedeker, John L
Boedeker, John L is an individual health care provider with primary practice located at 1010 4Th St Sw , Mason City IA 50401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boedeker, John L can be contacted via phone (641) 428-6020.Contact Information
Primary practice address
1010 4Th St Sw
Mason City IA 50401
Phone: (641) 428-6020
Fax: (641) 428-7803
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 03763 | Iowa |
Profile Details
| NPI number | 1780795393 |
|---|---|
| LBN Legal business name | Boedeker, John L |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Aug 15th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780795393 | NPPES |
| Iowa | MEDICAID | 0452011 |
Popular Providers
-
Floden, Linda G
1010 4Th St Sw Ste 305 , Mason City IA 50401-2801 -
Hanson, David H
101 S Taylor Ave , Mason City IA 50401-2849 -
Jayatilleka, Nimalka Panamulla
621 S Illinois Ave Suite 100, Mason City IA 50401-5489 -
Jenkins, Rebecca Lynn
5 N Federal Ave Ste 104 , Mason City IA 50401-3270 -
Mahoney, Mark A
2800 4Th St Sw Suite 8, Mason City IA 50401-1596 -
Mcvicker, Arla
520 S Pierce Ave Suite 150, Mason City IA 50401-2749 -
Sieh, Susan E
1631 4Th St Sw Ste 114B , Mason City IA 50401-1612 -
Gedney, Curtis
1000 4Th St Sw , Mason City IA 50401-2800