Boegel, Mary Lucille

Boegel, Mary Lucille is an individual health care provider with primary practice located at 1455 Montego #104, Walnut Creek CA 94598-2990. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as her primary health care specialty. Boegel, Mary Lucille can be contacted via phone (925) 946-1711.

Contact Information

Primary practice address
1455 Montego #104 Walnut Creek CA 94598-2990
Phone: (925) 946-1711
Fax: (925) 946-1902
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X G61295 California

Profile Details

NPI number 1437277282
LBN Legal business name Boegel, Mary Lucille
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 17th, 2012 - about 12 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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Identifiers

StateTypeNumberIssuer
All States NPI 1437277282 NPPES
California MEDICAID 00G612950

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