Boelter, Christopher William

Boelter, Christopher William is an individual health care provider with primary practice located at 2351 Connecticut Ave S Suite 200, Sartell MN 56377-2477. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Boelter, Christopher William can be contacted via phone (320) 259-1411.

Contact Information

Primary practice address
2351 Connecticut Ave S Suite 200 Sartell MN 56377-2477
Phone: (320) 259-1411
Fax: (320) 259-8967
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 41813 Minnesota

Profile Details

NPI number 1316981053
LBN Legal business name Boelter, Christopher William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2006
Last updated Apr 6th, 2015 - about 11 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 1316981053 NPPES
Minnesota MEDICAID 876478600
Minnesota Other P00143202

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