Michael Douglas Boehm in Bettendorf - Cornea And External Diseases Specialist

Michael Douglas Boehm - NPI 1912984360

Michael Douglas Boehm is a Cornea And External Diseases Specialist in Bettendorf, Iowa. Michael Douglas Boehm practices all healthcare services and medical treatments related to Cornea And External Diseases Specialist. The NPI Number for Michael Douglas Boehm is 1912984360. The last update date is 2018-08-14.

Michael Douglas Boehm's current location address is 777 Tanglefoot Ln, Bettendorf, Iowa. You can contact this provider via phone number 5633232020 and fax number 5633285694. The mailing address for Michael Douglas Boehm is 777 Tanglefoot Ln, Bettendorf, Iowa. To know further, please read the information below!

Provider Profile Detail

Provider Name Michael Douglas Boehm
Address 777 Tanglefoot Ln, Bettendorf, Iowa
Phone Number 5633232020
Fax Number 5633285694
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1912984360
Provider Enumeration Date 2005-12-28
Last Updated Date 2018-08-14

Provider Mailing Address Detail

Address 777 Tanglefoot Ln
City Bettendorf
State Iowa (IA)
Post Code 527221650
Phone Number 5633232020
Fax Number 5633285694

Provider's Primary Taxonomy Detail

Speciality Cornea And External Diseases Specialist
Taxonomy 207Wx0120X
Licence No 036-109140
Definition:
An ophthalmologist who specializes in diseases of the cornea, sclera, eyelids, conjunctiva, and anterior segment of the eye.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
290627 IA --
26568 IA IA GROUP MEDICARE #
790930 IL IL GROUP MEDICARE #
60350 IA IA GROUP MEDICAID #
36109146 IL --

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FAQs about Michael Douglas Boehm

What is the Michael Douglas Boehm's unique identification number?

The Michael Douglas Boehm has been assigned the NPI (National Provider Identifier) Number 1912984360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you provide the complete address where Michael Douglas Boehm is physically located?

The Michael Douglas Boehm is situated at the following address: 777 Tanglefoot Ln, Bettendorf, IA 527221650.

What is Michael Douglas Boehm's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Michael Douglas Boehm is Cornea And External Diseases Specialist, and the taxonomy classification code that categorizes this area of expertise is 207Wx0120X.

When did Michael Douglas Boehm receive its 1912984360 assignment?

The Michael Douglas Boehm was assigned its 1912984360 on 2005-12-28, which is the date when this unique identifier was issued to the organization.

As of what date were the Michael Douglas Boehm's details last updated?

The information pertaining to the Michael Douglas Boehm, including its address, specialty, and other details, was most recently updated on 2018-08-14.

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