Boevers, Jessica

Boevers, Jessica is an individual health care provider with primary practice located at 309 S Cherry Street , Shell Rock IA 50670. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boevers, Jessica can be contacted via phone (319) 885-4363.

Contact Information

Primary practice address
309 S Cherry Street Shell Rock IA 50670
Phone: (319) 885-4363
Fax: (319) 885-6583
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 33143 Iowa

Profile Details

NPI number 1962422873
LBN Legal business name Boevers, Jessica
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 13th, 2007 - about 19 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 1962422873 NPPES
Iowa MEDICAID 0484303

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