Boman, Lars

Boman, Lars is an sole proprietor health care provider with primary practice located at 15 Broad St #801, Boston MA 02109-3803. He recently has only one registered license in Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine, which is considered as his primary health care specialty. Boman, Lars can be contacted via phone (857) 239-9120.

Contact Information

Primary practice address
15 Broad St #801 Boston MA 02109-3803
Phone: (857) 239-9120
Fax: (857) 277-1355
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Public Health & General Preventive Medicine 2083P0901X 60137 Massachusetts

Profile Details

NPI number 1275562944
LBN Legal business name Boman, Lars
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 3rd, 2006
Last updated Jun 8th, 2016 - about 8 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 1275562944 NPPES
Rhode Island Other 004624 BLUECHIP
Rhode Island Other J07574 BLUECHIP
Rhode Island MEDICAID 3037886 BLUECHIP
Rhode Island Other 42894 BLUECHIP
Rhode Island Other 8269 BLUECHIP
Rhode Island Other 00028554 BLUECHIP
Rhode Island Other 1701023 BLUECHIP
Rhode Island Other 4339-7 BLUECHIP
Rhode Island Other 6351 BLUECHIP
Rhode Island Other 89755 BLUECHIP
Rhode Island Other 125141400 BLUECHIP
Rhode Island Other 754146 BLUECHIP

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