Boehme, Jeffrey David

Boehme, Jeffrey David is an individual health care provider with primary practice located at 6305 Library Rd , South Park PA 15129-8502. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Boehme, Jeffrey David can be contacted via phone (412) 854-4130.

Contact Information

Primary practice address
6305 Library Rd South Park PA 15129-8502
Phone: (412) 854-4130
Fax: (412) 854-8175
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OEG000653 Pennsylvania

Profile Details

NPI number 1477540433
LBN Legal business name Boehme, Jeffrey David
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2005
Last updated Nov 15th, 2024 - about 2 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 1477540433 NPPES
Pennsylvania Other 410036489 RAILROAD MEDICARE
Pennsylvania MEDICAID 1725156 02 RAILROAD MEDICARE

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