Boling, M Todd

Boling, M Todd is an individual health care provider with primary practice located at 203 W Pioneer Ave Suite 2, Homer AK 99603-7527. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boling, M Todd can be contacted via phone (907) 235-3225.

Contact Information

Primary practice address
203 W Pioneer Ave Suite 2 Homer AK 99603-7527
Phone: (907) 235-3225
Fax: (907) 235-3203
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 3945 Alaska

Profile Details

NPI number 1760491179
LBN Legal business name Boling, M Todd
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Nov 13th, 2012 - about 13 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 1760491179 NPPES
Alaska MEDICAID MD6688

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