Boehm, Michael Douglas

Boehm, Michael Douglas is an individual health care provider with primary practice located at 2001 5Th St Suite 49 Eye Surgeons Associates Pc, Silvis IL 61282. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boehm, Michael Douglas can be contacted via phone (309) 792-2020.

Contact Information

Primary practice address
2001 5Th St Suite 49 Eye Surgeons Associates Pc Silvis IL 61282
Phone: (309) 792-2020
Fax: (309) 792-4753
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 35141 Iowa
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 036-109140 Illinois

Profile Details

NPI number 1912984360
LBN Legal business name Boehm, Michael Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2005
Last updated Aug 14th, 2018 - about 8 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 1912984360 NPPES
Iowa MEDICAID 0290627
Iowa Other 26568
Iowa Other 790930
Iowa Other 0060350
Iowa MEDICAID 036109146

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