National Provider Identifier

William James Boehm, PA-C

William James Boehm, PA-C is listed in the NPPES registry with a primary specialty of Physician Assistant in Hamburg, NY and a listed phone number of (716) 926-6358.

NPI 1912573775Hamburg, NYPhysician Assistant

Profile Overview

NPI
1912573775
Provider Type
Individual
Primary Specialty
Physician Assistant
Enumeration Date
June 02, 2021
Last Updated
June 02, 2021

Practice Location

  • 4909 Southwestern Blvd
  • Hamburg, NY 14075-2616

Phone: (716) 926-6358

Mailing Address

  • 4566 Buckingham Ln
  • Hamburg, NY 14075-1918

Specialties

  • Physician Assistant (363A00000X)
Full Record
NPI
1912573775
Entity Type
Individual
Last Name
Boehm
First Name
William
Middle Name
James
Name Prefix
Mr.
Credential
PA-C
Mailing Street Address
4566 Buckingham Ln
Mailing City
Hamburg
Mailing State
NY
Mailing ZIP Code
14075-1918
Mailing Country
US
Mailing Phone
(716) 997-8262
Practice Street Address
4909 Southwestern Blvd
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075-2616
Practice Country
US
Practice Phone
(716) 926-6358
Enumeration Date
June 02, 2021
Last Updated
June 02, 2021
Sex
Male
Sole Proprietor
No
Certification Date
December 11, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physician Assistant (363A00000X)