Charles E Boult in Meridian - Geriatric Medicine
Charles E Boult - NPI 1962468025
Charles E Boult is a Geriatric Medicine in Meridian, Idaho. Charles E Boult practices all healthcare services and medical treatments related to Geriatric Medicine. The NPI Number for Charles E Boult is 1962468025. The last update date is 2016-05-23.
Charles E Boult's current location address is 3340 E Goldstone Way, Meridian, Idaho. You can contact this provider via phone number 2083025400 and fax number 2083025455. The mailing address for Charles E Boult is 3340 E Goldstone Way, Meridian, Idaho. To know further, please read the information below!
Provider Profile Detail
Provider Name | Charles E Boult |
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Address | 3340 E Goldstone Way, Meridian, Idaho |
Phone Number | 2083025400 |
Fax Number | 2083025455 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1962468025 |
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Provider Enumeration Date | 2006-04-26 |
Last Updated Date | 2016-05-23 |
Provider Mailing Address Detail
Address | 3340 E Goldstone Way |
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City | Meridian |
State | Idaho (ID) |
Post Code | 836421026 |
Phone Number | 2083025400 |
Fax Number | 2083025455 |
Provider's Primary Taxonomy Detail
Speciality | Geriatric Medicine |
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Taxonomy | 207Rg0300X |
Licence No | D57945 |
Definition: An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the of |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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687003100 | MD | -- |
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What is the unique identifier code issued to Charles E Boult by the Centers for Medicare & Medicaid Services?
The Charles E Boult has been assigned the NPI (National Provider Identifier) 1962468025. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Where is the Charles E Boult located?
The Charles E Boult is located at 3340 E Goldstone Way, Meridian, ID 836421026.
What is Charles E Boult's area of expertise and its corresponding taxonomy classification?
The Charles E Boult's field of specialization is Geriatric Medicine, and it falls under the taxonomy code 207Rg0300X, which categorizes healthcare providers based on their areas of practice.
When did the Charles E Boult receive its 1962468025?
The Charles E Boult was issued its 1962468025 on 2006-04-26, which is the date when the organization was assigned this unique identifier.
When was the information related to Charles E Boult most recently updated or refreshed?
The details pertaining to the Charles E Boult, including its address, specialty, and other relevant information, were last updated or refreshed on 2016-05-23.