Jack Booden is a Prosthetist in Norfolk, Virginia. Jack Booden practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for Jack Booden is 1841319415. The last update date is 2007-07-09.
Jack Booden's current location address is 2418 Granby St, Norfolk, Virginia. You can contact this provider via phone number 7576274191 and fax number 7576278709. The mailing address for Jack Booden is 2418 Granby St, Norfolk, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Booden |
|---|---|
| Address | 2418 Granby St, Norfolk, Virginia |
| Phone Number | 7576274191 |
| Fax Number | 7576278709 |
| Sole Proprietor | N |
| Credentials | C.P.O. |
NPI Number Detail
| NPI Number | 1841319415 |
|---|---|
| Provider Enumeration Date | 2007-03-28 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 2418 Granby St |
|---|---|
| City | Norfolk |
| State | Virginia (VA) |
| Post Code | 235171422 |
| Phone Number | 7576274191 |
| Fax Number | 7576278709 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetist |
|---|---|
| Taxonomy | 224P00000X |
| Licence No | CPO 00503 |
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Definition: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an |
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What is the unique 10-digit identifier code issued to Jack Booden by the Centers for Medicare & Medicaid Services?
The Jack Booden has been assigned the NPI (National Provider Identifier) 1841319415 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Where is the Jack Booden located?
The Jack Booden is located at 2418 Granby St, Norfolk, VA 235171422.
What is Jack Booden's area of expertise and its corresponding taxonomy classification?
The Jack Booden's field of specialization is Prosthetist, and it falls under the taxonomy code 224P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1841319415 to Jack Booden?
The Jack Booden received its 1841319415 assignment from the Centers for Medicare & Medicaid Services on 2007-03-28.
As of what date were the Jack Booden's details last updated?
The information pertaining to the Jack Booden, including its address, specialty, and other details, was most recently updated on 2007-07-09.
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