Boehm, Richard Andrew

Boehm, Richard Andrew is an sole proprietor health care provider with primary practice located at 7630 W 111Th St , Palos Hills IL 60465-2302. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Boehm, Richard Andrew can be contacted via phone (708) 974-1319.

Contact Information

Primary practice address
7630 W 111Th St Palos Hills IL 60465-2302
Phone: (708) 974-1319
Fax: (708) 233-4846
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 19022901 Illinois

Profile Details

NPI number 1821160045
LBN Legal business name Boehm, Richard Andrew
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 14th, 2006
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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