Boeving, Michael Anthony
Boeving, Michael Anthony is an individual health care provider with primary practice located at 4455 Duncan Ave Div Ortho Surgery Neurorehab, Saint Louis MO 63110-1111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation, which is considered as his primary health care specialty. Boeving, Michael Anthony can be contacted via phone (314) 514-3500.Contact Information
Primary practice address
4455 Duncan Ave Div Ortho Surgery Neurorehab
Saint Louis MO 63110-1111
Phone: (314) 514-3500
Fax: (314) 747-2598
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Physical Medicine & Rehabilitation | 208100000X | 2022013873 | Missouri |
Profile Details
| NPI number | 1275038853 |
|---|---|
| LBN Legal business name | Boeving, Michael Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 27th, 2018 |
| Last updated | Apr 15th, 2025 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275038853 | NPPES |
| Missouri | MEDICAID | 200111092 |
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