Boada, Richard Anthony
Boada, Richard Anthony is an individual health care provider with primary practice located at 3118 E 10Th St Ste B , Jeffersonville IN 47130-5904. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boada, Richard Anthony can be contacted via phone (812) 285-4585.Contact Information
Primary practice address
3118 E 10Th St Ste B
Jeffersonville IN 47130-5904
Phone: (812) 285-4585
Fax: (812) 284-2798
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01050219A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 32419 | Kentucky |
Profile Details
| NPI number | 1891870218 |
|---|---|
| LBN Legal business name | Boada, Richard Anthony |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Sep 21st, 2022 - about 3 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 | 1891870218 | NPPES |
| Indiana | Other | IN4465001 | MEDICARE |
| Indiana | MEDICAID | 200209820 | MEDICARE |
| Indiana | MEDICAID | 64324197 | MEDICARE |
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