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:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1922133321 | NPPES |
California | MEDICAID | 00C340150 |
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