Boehm, David R
Boehm, David R is an sole proprietor health care provider with primary practice located at 123 S Poston St , Marion VA 24354-2423. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Boehm, David R can be contacted via phone (276) 783-9040.Contact Information
Primary practice address
123 S Poston St
Marion VA 24354-2423
Phone: (276) 783-9040
Fax: (276) 782-9567
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | Virginia |
Profile Details
| NPI number | 1366554693 |
|---|---|
| LBN Legal business name | Boehm, David R |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1366554693 | NPPES |
| Virginia | MEDICAID | 0904000871 |
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