Boysen, Thomas Charles
Boysen, Thomas Charles is an individual health care provider with primary practice located at 501 12Th Ave Suite 101, Coralville IA 52241-1774. He recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Boysen, Thomas Charles can be contacted via phone (319) 337-3177.Contact Information
Primary practice address
501 12Th Ave Suite 101
Coralville IA 52241-1774
Phone: (319) 337-3177
Fax: (319) 341-0024
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 24303 | Iowa |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 24303 | Iowa |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 24303 | Iowa |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 24303 | Iowa |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 24303 | Iowa |
Profile Details
| NPI number | 1851475750 |
|---|---|
| LBN Legal business name | Boysen, Thomas Charles |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 28th, 2008 - about 16 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 | 1851475750 | NPPES |
| Iowa | Other | 24829 | WELLMARK BCBS |
| Iowa | Other | 0000A30001 | WELLMARK BCBS |
| Iowa | MEDICAID | 0042135 | WELLMARK BCBS |
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