Boulevard Internal Medicine

LBN: Boulevard Internal Medicine
Boulevard Internal Medicine is an health care organization with primary practice located at 5701 W 110Th St , Overland Park KS 66211-2503. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Boulevard Internal Medicine can be contacted via phone (913) 491-2400, or through Sherman, Neal J via phone (913) 248-8990.

Contact Information

Primary practice address
5701 W 110Th St Overland Park KS 66211-2503
Phone: (913) 491-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sherman, Neal J Doctor of Medicine (MD)
Phone: (913) 248-8990

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 04-18169 Kansas

Profile Details

NPI number 1417260522
LBN Legal business name Boulevard Internal Medicine
DBA Doing business as
Authorized official Sherman, Neal J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2010
Last updated Jul 17th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417260522 NPPES
Kansas MEDICAID 100113210B

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