Boom, Willem H

Boom, Willem H is an individual health care provider with primary practice located at 11100 Euclid Ave , Cleveland OH 44106-1716. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Boom, Willem H can be contacted via phone (216) 844-8500.

Contact Information

Primary practice address
11100 Euclid Ave Cleveland OH 44106-1716
Phone: (216) 844-8500
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 35-057716 Ohio

Profile Details

NPI number 1447279344
LBN Legal business name Boom, Willem H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Dec 10th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447279344 NPPES
Ohio Other 0642326 AETNA
Ohio Other 363372 AETNA
Ohio Other 700006744 AETNA
Ohio Other 000000539533 AETNA
Ohio Other 000000224351 AETNA
Ohio MEDICAID 0728163 AETNA
Ohio Other 746006 AETNA
Ohio Other P00449264 AETNA

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