Fred Charles Boch is a Clinical in Breese, Illinois. Fred Charles Boch practices all healthcare services and medical treatments related to Clinical. The NPI Number for Fred Charles Boch is 1477618734. The last update date is 2007-07-08.
Fred Charles Boch's current location address is 9401 Holy Cross Ln, Breese, Illinois. You can contact this provider via phone number 6185267271 and fax number 6185267313. The mailing address for Fred Charles Boch is 9401 Holy Cross Ln, Breese, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fred Charles Boch |
|---|---|
| Address | 9401 Holy Cross Ln, Breese, Illinois |
| Phone Number | 6185267271 |
| Fax Number | 6185267313 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1477618734 |
|---|---|
| Provider Enumeration Date | 2006-12-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9401 Holy Cross Ln |
|---|---|
| City | Breese |
| State | Illinois (IL) |
| Post Code | 622303510 |
| Phone Number | 6185267271 |
| Fax Number | 6185267313 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Post Comment/ Review Below
What is the unique identifier code issued to Fred Charles Boch by the Centers for Medicare & Medicaid Services (CMS)?
The Fred Charles Boch has been assigned the NPI (National Provider Identifier) 1477618734. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete physical address where Fred Charles Boch is located?
The Fred Charles Boch is situated at the following address: 9401 Holy Cross Ln, Breese, IL, 622303510.
What is Fred Charles Boch'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 Fred Charles Boch is Clinical, and the taxonomy classification code that categorizes this area of expertise is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1477618734 to Fred Charles Boch?
The Fred Charles Boch received its 1477618734 assignment from the Centers for Medicare & Medicaid Services on 2006-12-27.
When was the information regarding Fred Charles Boch, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Fred Charles Boch, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
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