Boles, Nathan D

Boles, Nathan D is an individual health care provider with primary practice located at 4500 13Th St , Gulfport MS 39501-2515. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Boles, Nathan D can be contacted via phone (228) 864-8454.

Contact Information

Primary practice address
4500 13Th St Gulfport MS 39501-2515
Phone: (228) 864-8454
Fax: (228) 865-1451
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 19325 Mississippi
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 19325 Mississippi
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 19325 Mississippi

Profile Details

NPI number 1730277757
LBN Legal business name Boles, Nathan D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2006
Last updated Aug 10th, 2023 - about last year

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 1730277757 NPPES
Mississippi MEDICAID 09952743

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