Boehme, Richard J

Boehme, Richard J is an individual health care provider with primary practice located at 1361 13Th Ave S Ste-170A, Jacksonville Beach FL 32250-3233. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as his primary health care specialty. Boehme, Richard J can be contacted via phone (904) 249-4456.

Contact Information

Primary practice address
1361 13Th Ave S Ste-170A Jacksonville Beach FL 32250-3233
Phone: (904) 249-4456
Fax: (904) 249-7703
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X ME62533 Florida

Profile Details

NPI number 1245227800
LBN Legal business name Boehme, Richard J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 29th, 2005
Last updated Dec 29th, 2011 - about 15 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 1245227800 NPPES
Florida Other P00240372 RAILROAD MEDICARE
Florida MEDICAID 372291100 RAILROAD MEDICARE
Florida Other 212248 RAILROAD MEDICARE
Florida Other 18695 RAILROAD MEDICARE
Florida Other P00647889 RAILROAD MEDICARE

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