Boese, Clifford Kent
Boese, Clifford Kent is an individual health care provider with primary practice located at 1 Edmundson Pl Ste 500, Council Bluffs IA 51503-4619. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Boese, Clifford Kent can be contacted via phone (712) 323-5333.Contact Information
Primary practice address
1 Edmundson Pl Ste 500
Council Bluffs IA 51503-4619
Phone: (712) 323-5333
Fax: (712) 323-3252
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 19711 | Nebraska |
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 30053 | Iowa |
Profile Details
| NPI number | 1225036916 |
|---|---|
| LBN Legal business name | Boese, Clifford Kent |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 7th, 2005 |
| Last updated | Jul 12th, 2012 - about 12 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 | 1225036916 | NPPES |
| Iowa | Other | 16464 | WELLMARK |
| Iowa | Other | 200017652 | WELLMARK |
| Iowa | MEDICAID | 0111260 | WELLMARK |
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