Boston, John Cecil
Boston, John Cecil is an individual health care provider with primary practice located at 950 E Bogard Rd Suite 228, Wasilla AK 99654-7184. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Boston, John Cecil can be contacted via phone (907) 376-2868.Contact Information
Primary practice address
950 E Bogard Rd Suite 228
Wasilla AK 99654-7184
Phone: (907) 376-2868
Fax: (907) 376-2811
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5285 | Alaska |
Profile Details
| NPI number | 1982666137 |
|---|---|
| LBN Legal business name | Boston, John Cecil |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 4th, 2006 |
| Last updated | Jan 5th, 2010 - about 16 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 | 1982666137 | NPPES |
| Alaska | MEDICAID | MD2914 | |
| Alaska | Other | 610518000 | |
| Alaska | Other | DC8103 | |
| Alaska | Other | 201322021 |
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