Boehm, John Jason

Boehm, John Jason is an sole proprietor health care provider with primary practice located at 4364 N. Kenmore Ave Suite 1, Chicago IL 60613-1394. He recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as his primary health care specialty. Boehm, John Jason can be contacted via phone (917) 292-1100.

Contact Information

Primary practice address
4364 N. Kenmore Ave Suite 1 Chicago IL 60613-1394
Phone: (917) 292-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1508154337
LBN Legal business name Boehm, John Jason
Credentials MS, CNS, MMC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 13th, 2011
Last updated Jul 13th, 2011 - about 14 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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