Marianne Rosenwald Boschen in Jackson - Medical
Marianne Rosenwald Boschen - NPI 1851476402
Marianne Rosenwald Boschen is a Medical in Jackson, . Marianne Rosenwald Boschen practices all healthcare services and medical treatments related to Medical. The NPI Number for Marianne Rosenwald Boschen is 1851476402. The last update date is 2019-08-12.
Marianne Rosenwald Boschen's current location address is 555 E Broadway Ave, Jackson, . You can contact this provider via phone number 3077333900. The mailing address for Marianne Rosenwald Boschen is 555 E Broadway Ave, Jackson, . To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marianne Rosenwald Boschen |
|---|---|
| Address | 555 E Broadway Ave, Jackson, |
| Phone Number | 3077333900 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PA-C |
NPI Number Detail
| NPI Number | 1851476402 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2019-08-12 |
Provider Mailing Address Detail
| Address | 555 E Broadway Ave |
|---|---|
| City | Jackson |
| State | (WY) |
| Post Code | 830018640 |
| Phone Number | 3077333900 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 301 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 113974600 | WY | -- |
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What is the unique identification code assigned to Marianne Rosenwald Boschen by the Centers for Medicare & Medicaid Services?
The Marianne Rosenwald Boschen has been issued the NPI (National Provider Identifier) 1851476402. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Marianne Rosenwald Boschen?
The Marianne Rosenwald Boschen is situated at 555 E Broadway Ave, in the city of Jackson, state of WY, with the zip code 830018640.
What is Marianne Rosenwald Boschen's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Marianne Rosenwald Boschen is Medical, and the taxonomy code that classifies this field of practice is 363Am0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1851476402 to Marianne Rosenwald Boschen?
The Marianne Rosenwald Boschen received its 1851476402 assignment from the Centers for Medicare & Medicaid Services on 2006-10-25.
As of what date were the Marianne Rosenwald Boschen's details last updated?
The information pertaining to the Marianne Rosenwald Boschen, including its address, specialty, and other details, was most recently updated on 2019-08-12.
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