Boeder, Paul A

Boeder, Paul A is an individual health care provider with primary practice located at 1100 Bergslien St , Baldwin WI 54002-2600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Boeder, Paul A can be contacted via phone (715) 684-1111.

Contact Information

Primary practice address
1100 Bergslien St Baldwin WI 54002-2600
Fax: (715) 684-1119
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 31521-20 Wisconsin

Profile Details

NPI number 1356335269
LBN Legal business name Boeder, Paul A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Jan 4th, 2024 - about 10 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356335269 NPPES
Wisconsin MEDICAID 1356335269

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