Boehm, Kathryn Elaine

Boehm, Kathryn Elaine is an sole proprietor health care provider with primary practice located at 424 W Woodruff Ave , Toledo OH 43604-5027. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Boehm, Kathryn Elaine can be contacted via phone (419) 509-6798.

Contact Information

Primary practice address
424 W Woodruff Ave Toledo OH 43604-5027
Phone: (419) 509-6798
Fax: (866) 888-0321
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 35-05-6573-B Ohio

Profile Details

NPI number 1790788248
LBN Legal business name Boehm, Kathryn Elaine
Credentials MD, MS
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 27th, 2005
Last updated Mar 7th, 2023 - about 3 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 1790788248 NPPES
Michigan MEDICAID 2827491-180
Michigan Other 3159862
Michigan MEDICAID 0744430
Michigan Other 35-05-6573-B

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