Richard C. Boleware, CP

Prosthetist · Jackson, MS

Individual Active NPI

NPI number 1194909069

Practice location

2 Old River Pl Ste D
Jackson, MS 39202-3435
Phone
(601) 944-1130
Fax
(601) 355-7476

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NPI record

NPI
1194909069
Entity type
Individual (Type 1)
Enumeration date
December 27, 2007
Last updated
May 19, 2015
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prosthetist Primary 224P00000X CP003226 MS

About Richard Boleware

Richard C. Boleware, CP is a healthcare provider registered in the NPI registry with the primary taxonomy Prosthetist (code 224P00000X). The practice location is 2 Old River Pl Ste D, Jackson, MS 39202-3435. The NPI number 1194909069 was assigned on December 27, 2007 and the record was last updated on May 19, 2015.

Richard Boleware lists a license in the registry: #CP003226 (MS) for Prosthetist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Richard C. Boleware, CP?

The NPI number is 1194909069.

What is the phone number of Richard Boleware?

The phone number listed for the practice location is (601) 944-1130.

Where is Richard Boleware located?

2 Old River Pl Ste D, Jackson, MS 39202-3435.

What is the taxonomy code for Richard Boleware?

The primary taxonomy code is 224P00000X – Prosthetist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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