Boye, Roger O

Boye, Roger O is an individual health care provider with primary practice located at 3803 Spring Street Suite 600, Racine WI 53405-1660. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Boye, Roger O can be contacted via phone (262) 687-8312.

Contact Information

Primary practice address
3803 Spring Street Suite 600 Racine WI 53405-1660
Phone: (262) 687-8312
Fax: (262) 687-8312
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036085330 Illinois
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 036085330 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036085330 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 50632 Wisconsin

Profile Details

NPI number 1215039722
LBN Legal business name Boye, Roger O
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 4th, 2006
Last updated Dec 6th, 2010 - 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 1215039722 NPPES
Illinois Other 1633677 BLUE CROSS PROVIDER #
Illinois MEDICAID 036085330 BLUE CROSS PROVIDER #

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