Richard C Boleware in Jackson - Prosthetist
Richard C Boleware - NPI 1194909069
Richard C Boleware is a Prosthetist in Jackson, Mississippi. Richard C Boleware practices all healthcare services and medical treatments related to Prosthetist. The NPI Number for Richard C Boleware is 1194909069. The last update date is 2015-05-19.
Richard C Boleware's current location address is 2 Old River Pl Ste D, Jackson, Mississippi. You can contact this provider via phone number 6019441130 and fax number 6013557476. The mailing address for Richard C Boleware is 2 Old River Pl Ste D, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard C Boleware |
|---|---|
| Address | 2 Old River Pl Ste D, Jackson, Mississippi |
| Phone Number | 6019441130 |
| Fax Number | 6013557476 |
| Sole Proprietor | N |
| Credentials | CP |
NPI Number Detail
| NPI Number | 1194909069 |
|---|---|
| Provider Enumeration Date | 2007-12-27 |
| Last Updated Date | 2015-05-19 |
Provider Mailing Address Detail
| Address | 2 Old River Pl Ste D |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392023435 |
| Phone Number | 6019441130 |
| Fax Number | 6013557476 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetist |
|---|---|
| Taxonomy | 224P00000X |
| Licence No | CP003226 |
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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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Post Comment/ Review Below
What is the Richard C Boleware's 1194909069?
The Richard C Boleware's NPI (National Provider Identifier) Number is 1194909069. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Richard C Boleware?
The Richard C Boleware is situated at 2 Old River Pl Ste D, in the city of Jackson, state of MS, with the zip code 392023435.
What is Richard C Boleware'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 Richard C Boleware is Prosthetist, and the taxonomy classification code that categorizes this area of expertise is 224P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1194909069 to Richard C Boleware?
The Centers for Medicare & Medicaid Services originally issued the 1194909069 to Richard C Boleware on 2007-12-27.
When was the information related to Richard C Boleware most recently updated or refreshed?
The details pertaining to the Richard C Boleware, including its address, specialty, and other relevant information, were last updated or refreshed on 2015-05-19.
NPI Number: 1336142389
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