Individual
JACOB PAUL BOEHME
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
24 ANTRIM COMMONS DR, GREENCASTLE, PA 17225-1623
(717) 593-0512
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA062648
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
05/14/2021
Last updated
05/15/2026
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