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
Fax: (907) 376-2811
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982666137 NPPES
Alaska MEDICAID MD2914
Alaska Other 610518000
Alaska Other DC8103
Alaska Other 201322021

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