Boehm, William

Boehm, William is an individual health care provider with primary practice located at N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc., Waukesha WI 53188-1135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boehm, William can be contacted via phone (262) 549-3030.

Contact Information

Primary practice address
N14W23900 Stone Ridge Dr Prohealth Care Medical Associates Inc. Waukesha WI 53188-1135
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 33446 Wisconsin

Profile Details

NPI number 1346213519
LBN Legal business name Boehm, William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 8th, 2006
Last updated Nov 15th, 2011 - about 13 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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Identifiers

StateTypeNumberIssuer
All States NPI 1346213519 NPPES
Wisconsin MEDICAID 32015300

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