Boose, Michael

Boose, Michael is an sole proprietor health care provider with primary practice located at 25 Kingery Ct Apt 38 , Belleville IL 62226-6280. He recently has only one registered license in Nursing Service Related Providers / Homemaker, which is considered as his primary health care specialty. Boose, Michael can be contacted via phone (618) 381-2886.

Contact Information

Primary practice address
25 Kingery Ct Apt 38 Belleville IL 62226-6280
Phone: (618) 381-2886
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Homemaker 376J00000X

Profile Details

NPI number 1104550706
LBN Legal business name Boose, Michael
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 11th, 2022
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104550706 NPPES
Illinois Other 11362192 NA

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