Boals Iv, Joseph C

Boals Iv, Joseph C is an individual health care provider with primary practice located at 195 W Illinois Ave , Southern Pines NC 28387-5808. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boals Iv, Joseph C can be contacted via phone (910) 692-2444.

Contact Information

Primary practice address
195 W Illinois Ave Southern Pines NC 28387-5808
Fax: (910) 692-3651
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 72688 North Carolina

Profile Details

NPI number 1306811856
LBN Legal business name Boals Iv, Joseph C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2006
Last updated May 22nd, 2008 - about 17 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 1306811856 NPPES
North Carolina MEDICAID 8916360

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