Boise, Richard C.
Boise, Richard C. is an individual health care provider with primary practice located at 3400 Delta Fair Blvd , Antioch CA 94509-4004. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Boise, Richard C. can be contacted via phone (925) 779-5000.Contact Information
Primary practice address
3400 Delta Fair Blvd
Antioch CA 94509-4004
Phone: (925) 779-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Adolescent Medicine | 2080A0000X | G36281 | California |
Profile Details
| NPI number | 1255483483 |
|---|---|
| LBN Legal business name | Boise, Richard C. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 17th, 2007 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255483483 | NPPES |
| California | MEDICAID | 00G362810 |
Popular Providers
-
Heise, John George
900 E 3Rd St , Chattanooga TN 37403-2101 -
Danielson, Charles E
159 Silver St , Waterville ME 04901-5813 -
Attisha, Elliott S
32100 Telegraph Rd Suite 110, Bingham Farms MI 48025-2452 -
Earnest, Robert Rhea
460 Country Club Rd , Lumberton NC 28360-9494 -
Korn, Tom S.
105 Medical Plz , Sulphur Springs TX 75482-2136 -
Feldman, Kira
249 S Main St Suite 2, Barnegat NJ 08005-2301 -
Bergeson, Rachel
1 Stadium Rd , Stonybrook NY 11794-3191 -
Ahmadi, Cyrus
53 Passaic Ave , Passaic NJ 07055-4801