Boles, Preston

Boles, Preston is an individual health care provider with primary practice located at 309 W Church St , Greenwood MS 38930-4305. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Boles, Preston can be contacted via phone (662) 453-9004.

Contact Information

Primary practice address
309 W Church St Greenwood MS 38930-4305
Phone: (662) 453-9004
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 80105 Mississippi

Profile Details

NPI number 1699734855
LBN Legal business name Boles, Preston
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 2nd, 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 1699734855 NPPES
Mississippi MEDICAID 00015222
Mississippi Other P00391905

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