Boehmer, Kathleen M
Boehmer, Kathleen M is an individual health care provider with primary practice located at 319 Front St , Mchenry IL 60050-5504. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Boehmer, Kathleen M can be contacted via phone (815) 578-9655.Contact Information
Primary practice address
319 Front St
Mchenry IL 60050-5504
Phone: (815) 578-9655
Fax: (815) 578-9642
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | Illinois |
Profile Details
NPI number | 1821270331 |
---|---|
LBN Legal business name | Boehmer, Kathleen M |
Credentials | Physical Therapist Assistant (PTA) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 27th, 2007 |
Last updated | Nov 27th, 2007 - about 18 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 | 1821270331 | NPPES |
Illinois | Other | 05632057 | BLUE CROSS BLUE SHIELD |
Illinois | Other | 7515430 | BLUE CROSS BLUE SHIELD |
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