Boehm, Trent Shakespear
Boehm, Trent Shakespear is an individual health care provider with primary practice located at 5403 Normandy St , Weston WI 54476-2217. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Student, Health Care / Student in an Organized Health Care Education/Training Program. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Boehm, Trent Shakespear can be contacted via phone (715) 241-8100.Contact Information
Primary practice address
5403 Normandy St
Weston WI 54476-2217
Phone: (715) 241-8100
Fax: (715) 241-8102
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | 1200 | Wisconsin |
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
NPI number | 1871157099 |
---|---|
LBN Legal business name | Boehm, Trent Shakespear |
Credentials | Doctor of Podiatric Medicine (DPM) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 23rd, 2019 |
Last updated | Jun 29th, 2022 - about 2 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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