Boehm, Bradley Allen

Boehm, Bradley Allen is an individual health care provider with primary practice located at 1065 Us 23 North , Alpena MI 49707. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boehm, Bradley Allen can be contacted via phone (989) 354-0607.

Contact Information

Primary practice address
1065 Us 23 North Alpena MI 49707
Phone: (989) 354-0607
Fax: (989) 356-6710
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X BB012930 Michigan

Profile Details

NPI number 1225092554
LBN Legal business name Boehm, Bradley Allen
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 13th, 2006
Last updated Jun 25th, 2010 - about 14 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 1225092554 NPPES
Michigan MEDICAID 3438729

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