National Provider Identifier Database

DOUGLAS K BOEHM, MD – NPI #1215923172
Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.


Contact Information

DOUGLAS K BOEHM, MD
640 JACKSON ST
SAINT PAUL, MN55101
Phone: 651-254-4887
Fax:
Website:
Specialty Taxonomy Code
* Cardiovascular Disease 207RC0000X

* Indicates primary specialty

NPI Profile & details for DOUGLAS K BOEHM

NPI Number 1215923172
Credentials MD
Entity Individual
Enumeration date 09/26/2005
Last updated 02/07/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • MN License #: 65012
  • ID Medicaid: 003605800
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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