Boehm, Clifford E.
Boehm, Clifford E. is an individual health care provider with primary practice located at 5401 Old Court Rd , Randallstown MD 21133-5103. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Boehm, Clifford E. can be contacted via phone (410) 701-4547.Contact Information
Primary practice address
5401 Old Court Rd
Randallstown MD 21133-5103
Phone: (410) 701-4547
Fax: (410) 701-4342
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D37884 | Maryland |
| Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine | 2083P0011X | D0037884 | Maryland |
Profile Details
| NPI number | 1902846207 |
|---|---|
| LBN Legal business name | Boehm, Clifford E. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 7th, 2006 |
| Last updated | Sep 23rd, 2015 - 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 | 1902846207 | NPPES |
| Maryland | MEDICAID | 551691900 |
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