Boles, Amy L
Boles, Amy L is an individual health care provider with primary practice located at 1421 Premier Drive Mankato Clinic At Wickersham Campus, Mankato MN 56001. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boles, Amy L can be contacted via phone (507) 625-1811.Contact Information
Primary practice address
1421 Premier Drive Mankato Clinic At Wickersham Campus
Mankato MN 56001
Phone: (507) 625-1811
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 48427 | Minnesota |
Profile Details
| NPI number | 1760473722 |
|---|---|
| LBN Legal business name | Boles, Amy L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | Jul 9th, 2020 - about 5 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 | 1760473722 | NPPES |
| Minnesota | Other | HP64495 | HEALTH PARTNERS |
| Minnesota | Other | 133219 | HEALTH PARTNERS |
| Minnesota | Other | 2443242 | HEALTH PARTNERS |
| Minnesota | Other | NA2951047341 | HEALTH PARTNERS |
| Minnesota | Other | 01-23833 | HEALTH PARTNERS |
| Minnesota | Other | 54093 | HEALTH PARTNERS |
| Minnesota | MEDICAID | 057753700 | HEALTH PARTNERS |
| Minnesota | Other | 0724203 | HEALTH PARTNERS |
| Minnesota | Other | 523P5BO | HEALTH PARTNERS |
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