William S. Boom is a Clinical in Imlay City, Michigan. William S. Boom practices all healthcare services and medical treatments related to Clinical. The NPI Number for William S. Boom is 1952427544. The last update date is 2009-08-17.
William S. Boom's current location address is 172 N Cedar St, Imlay City, Michigan. You can contact this provider via phone number 8107240598. The mailing address for William S. Boom is 172 N Cedar St, Imlay City, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | William S. Boom |
|---|---|
| Address | 172 N Cedar St, Imlay City, Michigan |
| Phone Number | 8107240598 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1952427544 |
|---|---|
| Provider Enumeration Date | 2007-03-22 |
| Last Updated Date | 2009-08-17 |
Provider Mailing Address Detail
| Address | 172 N Cedar St |
|---|---|
| City | Imlay City |
| State | Michigan (MI) |
| Post Code | 484441122 |
| Phone Number | 8107240598 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 6301011209 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 680D410100 | MI | BCBS OF MI |
Post Comment/ Review Below
What is the unique provider identifier assigned to William S. Boom?
The William S. Boom has been issued the NPI (National Provider Identifier) 1952427544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where William S. Boom is geographically located?
The William S. Boom is physically situated at the following location: 172 N Cedar St, Imlay City, MI, 484441122.
What is William S. Boom's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for William S. Boom is Clinical, and the taxonomy classification code that categorizes this area of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1952427544 to William S. Boom?
The Centers for Medicare & Medicaid Services assigned the 1952427544 to William S. Boom on 2007-03-22.
When was the information regarding William S. Boom, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to William S. Boom, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2009-08-17.
NPI Number: 1942207287
Address: N160 State Route 108, Napoleon, OH