Boehmke, Fred Edward
Boehmke, Fred Edward is an sole proprietor health care provider with primary practice located at 8201 Main St Suite 8, Williamsville NY 14221-6046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Boehmke, Fred Edward can be contacted via phone (716) 626-6626.Contact Information
Primary practice address
8201 Main St Suite 8
Williamsville NY 14221-6046
Phone: (716) 626-6626
Fax: (716) 626-6646
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 130603 | New York |
Profile Details
| NPI number | 1689639643 |
|---|---|
| LBN Legal business name | Boehmke, Fred Edward |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Jul 8th, 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 | 1689639643 | NPPES |
| New York | MEDICAID | 00668933 |
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