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Individual

CAROL A BOELTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2200 S 40TH ST, STE 104, LINCOLN, NE 68506-2407
(402) 483-6000
(402) 483-6106
Mailing address
7001 A ST, STE 200, LINCOLN, NE 68510-4205
(402) 421-0896
(402) 421-0945

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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