Boos, Jeffrey Michael
Boos, Jeffrey Michael is an individual health care provider with primary practice located at 12221 N Mo Pac Expy , Austin TX 78758-2401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Boos, Jeffrey Michael can be contacted via phone (512) 901-4004.Contact Information
Primary practice address
12221 N Mo Pac Expy
Austin TX 78758-2401
Phone: (512) 901-4004
Fax: (512) 901-3904
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | M8546 | Texas |
Profile Details
| NPI number | 1477744266 |
|---|---|
| LBN Legal business name | Boos, Jeffrey Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 6th, 2007 |
| Last updated | Jan 7th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477744266 | NPPES |
| Texas | Other | P00698106 | RRMCR |
| Texas | MEDICAID | 194606301 | RRMCR |
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