Boehm, Frederick Peter
Boehm, Frederick Peter is an individual health care provider with primary practice located at 2084 Ne Professional Ct , Bend OR 97701-6077. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boehm, Frederick Peter can be contacted via phone (541) 383-3005.Contact Information
Primary practice address
2084 Ne Professional Ct
Bend OR 97701-6077
Phone: (541) 383-3005
Fax: (541) 383-1883
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD11489 | Oregon |
Profile Details
| NPI number | 1801872288 |
|---|---|
| LBN Legal business name | Boehm, Frederick Peter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 19th, 2005 |
| Last updated | Jul 27th, 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 | 1801872288 | NPPES |
| Oregon | MEDICAID | 230540 |
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