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NPI Code Detail

MEDICARE: SIEGFRIED HANS BOEHM

MEDICARE:   SIEGFRIED HANS BOEHM
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1578421467
Entity Type Code : Individual
Provider Name (Legal Business Name) : SIEGFRIED HANS BOEHM
Provider Business Mailing Address
First Line : 3914 CHEROKEE WOODS WAY APT 205
Second Line :
City : KNOXVILLE
State : TN
Zip : 37920-2296
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 400 N STATE OF FRANKLIN RD
Second Line :
City : JOHNSON CITY
State : TN
Zip : 37604-6035
Country : US
Telephone Number : 423-431-6111
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/12/2026
Last Update Date : 01/12/2026

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Directions to “ SIEGFRIED HANS BOEHM ” Practice Location

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