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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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