Boeke, Steven D

Boeke, Steven D is an individual health care provider with primary practice located at 999 Home Plz , Waterloo IA 50701-4822. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boeke, Steven D can be contacted via phone (319) 236-0815.

Contact Information

Primary practice address
999 Home Plz Waterloo IA 50701-4822
Phone: (319) 236-0815
Fax: (319) 234-0847
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1634 Iowa

Profile Details

NPI number 1770544736
LBN Legal business name Boeke, Steven D
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2006
Last updated Apr 15th, 2008 - about 16 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 1770544736 NPPES
Iowa Other 18418 WELLMARK BC/BS OF IA
Iowa Other CG4244 WELLMARK BC/BS OF IA
Iowa MEDICAID 0117267 WELLMARK BC/BS OF IA

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