Matthew L Boelter, HCP
Individual provider Active NPI Hearing Instrument Specialist · Champlin, MN
NPI 1255853305 · NPPES record last updated Feb 11, 2019
Key facts
- NPI
- 1255853305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hearing Instrument Specialist 237700000X
- License
- 2808 (MN)
- Practice address
- 11451 Oregon Ave N
Champlin, MN 55316 - Phone
- (727) 242-4711
- NPI assigned
- Jul 11, 2017
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2808 | MN | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | 2808 | MN | Yes |
Addresses
Primary practice location
11451 Oregon Ave N
Champlin, MN 55316
Mailing address
11451 Oregon Ave N
Champlin, MN 55316
Phone (727) 242-4711
Other names
- Mr. Matthew L Boelter
Other providers in Champlin, MN
- Bickford of Champlin, LLC
- Bio-Medical Applications of Minnesota, Inc.
- Alexander W Blidi
- Ashley A Bliss
- Morgan Bobo
- Eftu Omer Boru
- Faisale Sale Boukari
- Brist Chiropractic & Naturopathic Wellness Center LLC
- Jeff Brist
- Megan Brodhag
All providers in Champlin, MN · Hearing Instrument Specialist in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.