Boleware, Richard C

Boleware, Richard C is an individual health care provider with primary practice located at 2 Old River Pl Ste D , Jackson MS 39202-3435. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist, which is considered as his primary health care specialty. Boleware, Richard C can be contacted via phone (601) 944-1130.

Contact Information

Primary practice address
2 Old River Pl Ste D Jackson MS 39202-3435
Phone: (601) 944-1130
Fax: (601) 355-7476
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Prosthetist 224P00000X CP003226 Mississippi

Profile Details

NPI number 1194909069
LBN Legal business name Boleware, Richard C
Credentials Certified Psychologist (CP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2007
Last updated May 19th, 2015 - about 11 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.

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