Eric Wayne Boss is a Orthopedic in Jenison, Michigan. Eric Wayne Boss practices all healthcare services and medical treatments related to Orthopedic. The NPI Number for Eric Wayne Boss is 1912196395. The last update date is 2011-08-16.
Eric Wayne Boss's current location address is 8200 Golfside Dr, Jenison, Michigan. You can contact this provider via phone number 6168229295. The mailing address for Eric Wayne Boss is 8200 Golfside Dr, Jenison, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Wayne Boss |
|---|---|
| Address | 8200 Golfside Dr, Jenison, Michigan |
| Phone Number | 6168229295 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1912196395 |
|---|---|
| Provider Enumeration Date | 2007-10-22 |
| Last Updated Date | 2011-08-16 |
Provider Mailing Address Detail
| Address | 8200 Golfside Dr |
|---|---|
| City | Jenison |
| State | Michigan (MI) |
| Post Code | 494288401 |
| Phone Number | 6168229295 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthopedic |
|---|---|
| Taxonomy | 2251X0800X |
| Licence No | 5501012007 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pat |
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Post Comment/ Review Below
What is the unique identifier code issued to Eric Wayne Boss by the Centers for Medicare & Medicaid Services (CMS)?
The Eric Wayne Boss has been assigned the NPI (National Provider Identifier) 1912196395. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Eric Wayne Boss's physical address?
The Eric Wayne Boss is physically located at 8200 Golfside Dr, in the city of Jenison, MI, with the postal code 494288401.
What is Eric Wayne Boss's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Eric Wayne Boss's specialized field of practice is Orthopedic, and the corresponding taxonomy code that categorizes this area of specialization is 2251X0800X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1912196395 to Eric Wayne Boss?
The Centers for Medicare & Medicaid Services originally issued the 1912196395 to Eric Wayne Boss on 2007-10-22.
As of what date was the information regarding Eric Wayne Boss, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eric Wayne Boss, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-08-16.