Boeder, Daniel Theodore

Boeder, Daniel Theodore is an individual health care provider with primary practice located at 319 E Madison St Fl 3 , Springfield IL 62701-1035. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry. Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry is his primary health care specialty. Boeder, Daniel Theodore can be contacted via phone (217) 545-6900.

Contact Information

Primary practice address
319 E Madison St Fl 3 Springfield IL 62701-1035
Phone: (217) 545-6900
Fax: (217) 585-6893
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125.073980 Illinois
Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry 2084P0804X 125.073980 Illinois

Profile Details

NPI number 1669039822
LBN Legal business name Boeder, Daniel Theodore
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2019
Last updated Jun 25th, 2024 - about 5 months 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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