Boe, Roger W.
Boe, Roger W. is an sole proprietor health care provider with primary practice located at 405 W Whitman St , Pocatello ID 83204-3317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Boe, Roger W. can be contacted via phone (208) 233-6833.Contact Information
Primary practice address
405 W Whitman St
Pocatello ID 83204-3317
Phone: (208) 233-6833
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | M2691 | Idaho |
Profile Details
| NPI number | 1285797241 |
|---|---|
| LBN Legal business name | Boe, Roger W. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 19th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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