Boyum, George P.

Boyum, George P. is an individual health care provider with primary practice located at 5803 Neal Ave N , Oak Park Heights MN 55082-2177. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Sports Medicine. Other Service Providers / Specialist is his primary health care specialty. Boyum, George P. can be contacted via phone (651) 439-8807.

Contact Information

Primary practice address
5803 Neal Ave N Oak Park Heights MN 55082-2177
Phone: (651) 439-8807
Fax: (651) 439-0232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 21557 Minnesota
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 21557 Minnesota

Profile Details

NPI number 1528050929
LBN Legal business name Boyum, George P.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Nov 15th, 2013 - about 12 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 1528050929 NPPES
Minnesota Other P01218320 RR MEDICARE

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