Boedeker, Daniel E

Boedeker, Daniel E is an sole proprietor health care provider with primary practice located at 527 W Platte Ave , Fort Morgan CO 80701-2654. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Boedeker, Daniel E can be contacted via phone (970) 867-4477.

Contact Information

Primary practice address
527 W Platte Ave Fort Morgan CO 80701-2654
Phone: (970) 867-4477
Fax: (970) 867-4499
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 10147 Colorado

Profile Details

NPI number 1851357149
LBN Legal business name Boedeker, Daniel E
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Oct 18th, 2011 - 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 1851357149 NPPES
Colorado Other 274452081 TAX ID

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