Boles, Shafe D.
Boles, Shafe D. is an individual health care provider with primary practice located at 2780 Frederica St , Owensboro KY 42301-5442. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Boles, Shafe D. can be contacted via phone (270) 926-4100.Contact Information
Primary practice address
2780 Frederica St
Owensboro KY 42301-5442
Phone: (270) 926-4100
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 37532 | Kentucky |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | 37532 | Kentucky |
Profile Details
NPI number | 1871596379 |
---|---|
LBN Legal business name | Boles, Shafe D. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 27th, 2005 |
Last updated | Mar 19th, 2024 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1871596379 | NPPES |
Kentucky | Other | 200044474 | RAILROAD MEDICARE |
Kentucky | Other | 000000226231 | RAILROAD MEDICARE |
Kentucky | Other | K005560 | RAILROAD MEDICARE |
Kentucky | MEDICAID | 64051998 | RAILROAD MEDICARE |
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