Boseman, Jerald P

Boseman, Jerald P is an individual health care provider with primary practice located at 121 S Orem Blvd Ste 103 , Orem UT 84058-3006. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Boseman, Jerald P can be contacted via phone (801) 225-4911.

Contact Information

Primary practice address
121 S Orem Blvd Ste 103 Orem UT 84058-3006
Phone: (801) 225-4911
Fax: (801) 225-4854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 48849 Minnesota
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 48108 Colorado
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 5929764-1205 Utah

Profile Details

NPI number 1801807144
LBN Legal business name Boseman, Jerald P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2006
Last updated May 2nd, 2024 - about last year

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 1801807144 NPPES
Colorado MEDICAID 29025354
Colorado MEDICAID 3007868
Colorado MEDICAID 055435000

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