Boethin, Abigail
Boethin, Abigail is an individual health care provider with primary practice located at 611 W Park St Fapc, Urbana IL 61801. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Boethin, Abigail can be contacted via phone (217) 904-7000.Contact Information
Primary practice address
611 W Park St Fapc
Urbana IL 61801
Phone: (217) 904-7000
Fax: (217) 904-7748
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2012033522 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 2012033522 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 2012033522 | Missouri |
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 085007968 | Illinois |
Profile Details
NPI number | 1023369212 |
---|---|
LBN Legal business name | Boethin, Abigail |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 27th, 2012 |
Last updated | Jun 11th, 2021 - 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.
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