Boethel, Carl David

Boethel, Carl David is an individual health care provider with primary practice located at 2401 S 31St St , Temple TX 76508-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sleep Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Boethel, Carl David can be contacted via phone (254) 724-2111.

Contact Information

Primary practice address
2401 S 31St St Temple TX 76508-0001
Phone: (254) 724-2111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X L9629 Texas
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X L9629 Texas

Profile Details

NPI number 1417916255
LBN Legal business name Boethel, Carl David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 3rd, 2021 - about 5 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 1417916255 NPPES
Texas MEDICAID 1683856-01
Texas Other 8P9110
Texas Other 1683856-01
Texas Other P00184712

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