Boling, Richard Clayton

Boling, Richard Clayton is an individual health care provider with primary practice located at 2746 Old Us 20 W , Elkhart IN 46514-1364. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Boling, Richard Clayton can be contacted via phone (574) 293-3545.

Contact Information

Primary practice address
2746 Old Us 20 W Elkhart IN 46514-1364
Phone: (574) 293-3545
Fax: (574) 522-0599
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 01032196 Indiana

Profile Details

NPI number 1245278068
LBN Legal business name Boling, Richard Clayton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Nov 8th, 2012 - about 14 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 1245278068 NPPES
Indiana MEDICAID 100113350A
Indiana Other P00442880

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