Boos-Edwards, Alice

Boos-Edwards, Alice is an individual health care provider with primary practice located at 3015 Wilson Ave , Louisville KY 40211-1969. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Boos-Edwards, Alice can be contacted via phone (502) 774-4401.

Contact Information

Primary practice address
3015 Wilson Ave Louisville KY 40211-1969
Phone: (502) 774-4401
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 3012859 Kentucky

Profile Details

NPI number 1144853029
LBN Legal business name Boos-Edwards, Alice
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2020
Last updated Feb 13th, 2023 - about 2 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 1144853029 NPPES
Kentucky MEDICAID 7100694510

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