Boesen, Peter Vincent

Boesen, Peter Vincent is an individual health care provider with primary practice located at 1000 73Rd St Suite 18, Windsor Heights IA 50311-1321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Otolaryngology, which is considered as his primary health care specialty. Boesen, Peter Vincent can be contacted via phone (515) 267-0691.

Contact Information

Primary practice address
1000 73Rd St Suite 18 Windsor Heights IA 50311-1321
Phone: (515) 267-0691
Fax: (515) 267-0790
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Otolaryngology 207YP0228X 26113 Iowa

Profile Details

NPI number 1871591966
LBN Legal business name Boesen, Peter Vincent
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871591966 NPPES
Iowa MEDICAID 3058156

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