Boehlke-Bray, Laura Lynne
Boehlke-Bray, Laura Lynne is an individual health care provider with primary practice located at 1180 Chandler Dr , Spooner WI 54801-2204. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boehlke-Bray, Laura Lynne can be contacted via phone (715) 635-2151.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 36374-020 | Wisconsin |
Profile Details
| NPI number | 1811939135 |
|---|---|
| LBN Legal business name | Boehlke-Bray, Laura Lynne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 12th, 2006 |
| Last updated | Nov 8th, 2016 - about 10 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 | 1811939135 | NPPES |
| Wisconsin | MEDICAID | 32104500 |
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