Mr. Richard C Boleware
Prosthetist
2 Old River Pl Ste D
Jackson
, Mississippi 39202-3435
Mr. Richard C Boleware
Prosthetist
2 Old River Pl Ste D
Jackson
, Mississippi 39202-3435
(601) 355-7476
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About
Features
Specialties
- Prosthetist
Languages spoken
- English
Location
First Address
- Mr. Richard C Boleware
- 2 Old River Pl Ste D
- Jackson, MS
- Zip : 39202-3435
- Fax : (601) 355-7476
- Phone : (601) 944-1130
Second Address
- Mr. Richard C Boleware
- 2 Old River Pl Ste D
- Jackson, MS
- Zip : 39202-3435
- Fax : (601) 355-7476
- Phone : (601) 944-1130
Reviews
FAQs
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Is Mr. Richard C Boleware a sole practitioner?
Is Mr. Richard C Boleware accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 224P00000X | Prosthetist | CP003226 | MS |
National Provider Identifier
| NPI | 1194909069 |
|---|---|
| Provider Name | Mr. Richard C Boleware |
| First Address | Jackson, MS 39202-3435 |
| Second Address | Jackson, MS 39202-3435 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/12/2007 |
| Last Update Date | 19/05/2015 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.