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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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