Boumann, Christine Elizabeth

Boumann, Christine Elizabeth is an individual health care provider with primary practice located at 6320 Wedgwood Rd N , Maple Grove MN 55311-3647. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Boumann, Christine Elizabeth can be contacted via phone (763) 268-0400.

Contact Information

Primary practice address
6320 Wedgwood Rd N Maple Grove MN 55311-3647
Phone: (763) 268-0400
Fax: (763) 268-0405
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1318 Wisconsin
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 9172 Minnesota

Profile Details

NPI number 1538278791
LBN Legal business name Boumann, Christine Elizabeth
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 19th, 2009 - about 15 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 1538278791 NPPES
Wisconsin Other 1318 PA LICENSE
Wisconsin MEDICAID 41921500 PA LICENSE

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