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Individual
CAROL A BOELTER
Active
Individual
CAROL A BOELTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21489
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00210
BCBS
NE
01
—
01-03334
UHC
NE
01
—
24583
MIDLAND'S CHOICE
NE
Enumeration date
08/02/2006
Last updated
04/09/2020
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