Boles, James Irwin

Boles, James Irwin is an sole proprietor health care provider with primary practice located at 154 W 7Th St , Oswego NY 13126-2518. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Boles, James Irwin can be contacted via phone (315) 342-5488.

Contact Information

Primary practice address
154 W 7Th St Oswego NY 13126-2518
Fax: (315) 342-0749
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 147559 New York

Profile Details

NPI number 1740391457
LBN Legal business name Boles, James Irwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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 1740391457 NPPES
New York MEDICAID 00647801

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