Boesenberg, Karl Albert

Boesenberg, Karl Albert is an individual health care provider with primary practice located at 2741 Debarr Rd Suite C-315, Anchorage AK 99508-2953. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Boesenberg, Karl Albert can be contacted via phone (907) 562-4958.

Contact Information

Primary practice address
2741 Debarr Rd Suite C-315 Anchorage AK 99508-2953
Phone: (907) 562-4958
Fax: (907) 562-5195
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 2164 Alaska

Profile Details

NPI number 1457431785
LBN Legal business name Boesenberg, Karl Albert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Jul 9th, 2007 - about 17 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 1457431785 NPPES
Alaska MEDICAID PD2164

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