Boes, Tanner William

Boes, Tanner William is an individual health care provider with primary practice located at 2 Empire Dr Ste 100 , Rensselaer NY 12144-5730. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Boes, Tanner William can be contacted via phone (518) 286-4899.

Contact Information

Primary practice address
2 Empire Dr Ste 100 Rensselaer NY 12144-5730
Phone: (518) 286-4899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35.127937 Ohio
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 295278 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 295278 New York

Profile Details

NPI number 1013351477
LBN Legal business name Boes, Tanner William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2013
Last updated Jan 25th, 2024 - about 10 months 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 1013351477 NPPES
New York MEDICAID 05290611

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