Boehm, Jason Aaron

Boehm, Jason Aaron is an individual health care provider with primary practice located at 3801 S National Ave , Springfield MO 65807-5210. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Boehm, Jason Aaron can be contacted via phone (417) 269-4550.

Contact Information

Primary practice address
3801 S National Ave Springfield MO 65807-5210
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 2010003400 Missouri

Profile Details

NPI number 1972706968
LBN Legal business name Boehm, Jason Aaron
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 7th, 2007
Last updated Jan 24th, 2024 - about last year

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 1972706968 NPPES
Other 431560263 TRICARE WEST
MEDICAID 183187003 TRICARE WEST
MEDICAID 1972706968 TRICARE WEST

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