Jan C Boggs is a Clinical in Fort Wayne, Indiana. Jan C Boggs practices all healthcare services and medical treatments related to Clinical. The NPI Number for Jan C Boggs is 1104994318. The last update date is 2018-02-05.
Jan C Boggs's current location address is 4656 W Jefferson Blvd, Fort Wayne, Indiana. You can contact this provider via phone number 2604229372 and fax number 2604220843. The mailing address for Jan C Boggs is 4656 W Jefferson Blvd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jan C Boggs |
|---|---|
| Address | 4656 W Jefferson Blvd, Fort Wayne, Indiana |
| Phone Number | 2604229372 |
| Fax Number | 2604220843 |
| Sole Proprietor | N |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1104994318 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2018-02-05 |
Provider Mailing Address Detail
| Address | 4656 W Jefferson Blvd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468046857 |
| Phone Number | 2604229372 |
| Fax Number | 2604220843 |
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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200532500A | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Jan C Boggs by the Centers for Medicare & Medicaid Services?
The Jan C Boggs has been assigned the NPI (National Provider Identifier) 1104994318 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Jan C Boggs is located?
The Jan C Boggs is situated at the following address: 4656 W Jefferson Blvd, Fort Wayne, IN, 468046857.
What is Jan C Boggs's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jan C Boggs's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1104994318 to Jan C Boggs?
The Centers for Medicare & Medicaid Services assigned the 1104994318 to Jan C Boggs on 2006-12-04.
As of what date was the information pertaining to Jan C Boggs, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jan C Boggs, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2018-02-05.
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