Boemer, Allison Beth
Boemer, Allison Beth is an individual health care provider with primary practice located at 1210 Waterman Way , Tavares FL 32778-5229. She recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as her primary health care specialty. Boemer, Allison Beth can be contacted via phone (352) 343-2364.Contact Information
Primary practice address
1210 Waterman Way
Tavares FL 32778-5229
Phone: (352) 343-2364
Fax: (352) 253-0022
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | MD.36915 | Alabama |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | ME142814 | Florida |
Profile Details
| NPI number | 1831532217 |
|---|---|
| LBN Legal business name | Boemer, Allison Beth |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 16th, 2013 |
| Last updated | Mar 2nd, 2020 - about 4 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 | 1831532217 | NPPES |
| Alabama | MEDICAID | 226108 | |
| Alabama | MEDICAID | 218921 | |
| Alabama | Other | 6942025 |
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