Boehm, Carol

Boehm, Carol is an individual health care provider with primary practice located at 200 Kennedy Memorial Dr , Waterville ME 04901-4526. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Boehm, Carol can be contacted via phone (207) 861-3200.

Contact Information

Primary practice address
200 Kennedy Memorial Dr Waterville ME 04901-4526
Phone: (207) 861-3200
Fax: (207) 861-3210
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R087379 Maryland
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X CNP171125 Maine

Profile Details

NPI number 1821020884
LBN Legal business name Boehm, Carol
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated May 1st, 2018 - about 6 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 1821020884 NPPES
Maryland MEDICAID 216302100

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