Boehm, Donald Kenneth

Boehm, Donald Kenneth is an individual health care provider with primary practice located at 722 Medical Center Dr East #101, Clovis CA 93611. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Boehm, Donald Kenneth can be contacted via phone (559) 297-9500.

Contact Information

Primary practice address
722 Medical Center Dr East #101 Clovis CA 93611
Phone: (559) 297-9500
Fax: (559) 297-9572
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X C34015 California

Profile Details

NPI number 1922133321
LBN Legal business name Boehm, Donald Kenneth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 23rd, 2007
Last updated Jul 8th, 2007 - about 17 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 1922133321 NPPES
California MEDICAID 00C340150

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