Boggs, Jim
Boggs, Jim is an sole proprietor health care provider with primary practice located at 123 S Webb Rd , Grand Island NE 68803-5110. He recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as his primary health care specialty. Boggs, Jim can be contacted via phone (308) 385-5900.Contact Information
Primary practice address
123 S Webb Rd
Grand Island NE 68803-5110
Phone: (308) 385-5900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 235200000X | Nebraska |
Profile Details
| NPI number | 1639621584 |
|---|---|
| LBN Legal business name | Boggs, Jim |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 26th, 2016 |
| Last updated | Oct 26th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1639621584 | NPPES |
| Nebraska | MEDICAID | 235200000X |
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