Boulis, Eman

Boulis, Eman is an individual health care provider with primary practice located at 210 4Th Ave , Grinnell IA 50112-1898. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Boulis, Eman can be contacted via phone (641) 236-7511.

Contact Information

Primary practice address
210 4Th Ave Grinnell IA 50112-1898
Phone: (641) 236-7511
Fax: (641) 236-2058
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD433023 Pennsylvania
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 20150 Mississippi
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD-41825 Iowa

Profile Details

NPI number 1265617047
LBN Legal business name Boulis, Eman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2007
Last updated Mar 7th, 2023 - about 3 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 1265617047 NPPES
Iowa Other MD-41825 IA LICENSE
Iowa Other 1246481 IA LICENSE
Iowa MEDICAID 102065830 IA LICENSE

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