Boake, Gregory W

Boake, Gregory W is an individual health care provider with primary practice located at 10122 E 10Th St Ste 230 , Indianapolis IN 46229-2664. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Boake, Gregory W can be contacted via phone (317) 355-7356.

Contact Information

Primary practice address
10122 E 10Th St Ste 230 Indianapolis IN 46229-2664
Phone: (317) 355-7356
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 070001028A Indiana
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 070001028A Indiana

Profile Details

NPI number 1235143512
LBN Legal business name Boake, Gregory W
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2006
Last updated Feb 9th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235143512 NPPES
Other 5324290008 DME FC
Other 070001028A DME FC
Other 5324290003 DME FC
Other 5324290004 DME FC
Other 5324290006 DME FC
Other 5324290005 DME FC
MEDICAID 20087023 DME FC
Other 5324290007 DME FC

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