Boose, Eric William

Boose, Eric William is an individual health care provider with primary practice located at 6701 Rockside Rd Ste 260, Independence OH 44131-2351. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Boose, Eric William can be contacted via phone (216) 369-2525.

Contact Information

Primary practice address
6701 Rockside Rd Ste 260 Independence OH 44131-2351
Phone: (216) 369-2525
Fax: (216) 369-2531
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35081506B Ohio

Profile Details

NPI number 1528061702
LBN Legal business name Boose, Eric William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Jul 17th, 2009 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1528061702 NPPES
Ohio Other 350411 WELLCARE
Ohio Other 000000489324 WELLCARE
Ohio Other T81506 WELLCARE
Ohio MEDICAID 2332952 WELLCARE

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