Boulden, William R
Boulden, William R is an sole proprietor health care provider with primary practice located at 12499 University Ave Suite 210, Des Moines IA 50325-8281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Boulden, William R can be contacted via phone (515) 440-2676.Contact Information
Primary practice address
12499 University Ave Suite 210
Des Moines IA 50325-8281
Phone: (515) 440-2676
Fax: (515) 440-2677
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 19337 | Iowa |
Profile Details
NPI number | 1609830355 |
---|---|
LBN Legal business name | Boulden, William R |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Apr 12th, 2006 |
Last updated | Jan 22nd, 2013 - about 11 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 | 1609830355 | NPPES |
Other | 50215 | BLUE CROSS BLUE SHIELD | |
MEDICAID | 2138891 | BLUE CROSS BLUE SHIELD | |
Other | P00060888 | BLUE CROSS BLUE SHIELD |
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