Boehm, Michael D

Boehm, Michael D is an individual health care provider with primary practice located at 300 W Hospital Rd Meb Section, Fort Gordon GA 30905-5741. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Boehm, Michael D can be contacted via phone (706) 787-9136.

Contact Information

Primary practice address
300 W Hospital Rd Meb Section Fort Gordon GA 30905-5741
Phone: (706) 787-9136
Fax: (706) 787-9136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X ME55585 Florida

Profile Details

NPI number 1750300141
LBN Legal business name Boehm, Michael D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 18th, 2006
Last updated Oct 3rd, 2013 - about 12 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 1750300141 NPPES
Florida MEDICAID 271186900
Florida Other 34-1371375
Florida Other P00699936
Florida Other P00830193

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