| Robert Boezinger, Pllc | |
|
215 Franklin Street Cedar Falls IA 50613-5061 | |
| (563) 340-6545 | |
| Not Available |
| Full Name | Robert Boezinger, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 215 Franklin Street, Cedar Falls, Iowa |
| Authorized Official Name and Position | Robert Boezinger (THERAPIST) |
| Authorized Official Contact | 5633406545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Robert Boezinger, Pllc 1101 Lakeview Drive Cedar Falls IA 50613 Ph: (563) 340-6545 | Robert Boezinger, Pllc 215 Franklin Street Cedar Falls IA 50613-5061 Ph: (563) 340-6545 |
| NPI Number | 1235843491 |
|---|---|
| Provider Enumeration Date | 01/11/2023 |
| Last Update Date | 01/11/2023 |
| Certification Date | 01/11/2023 |
| Medicare PECOS PAC ID | 3870956683 |
|---|---|
| Medicare Enrollment ID | O20230828000846 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235843491 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Robert Boezinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750343265 PECOS PAC ID: 2769480342 Enrollment ID: I20230828000921 |
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