Boehm, Douglas Kent
Boehm, Douglas Kent is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Boehm, Douglas Kent can be contacted via phone (651) 254-4887.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 65012 | Minnesota |
Profile Details
| NPI number | 1215923172 |
|---|---|
| LBN Legal business name | Boehm, Douglas Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Feb 7th, 2019 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215923172 | NPPES |
| Idaho | MEDICAID | 003605800 |
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