Boostrom, William C.

Boostrom, William C. is an individual health care provider with primary practice located at 2606 Hospital Blvd 4 West, Corpus Christi TX 78405-1833. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Boostrom, William C. can be contacted via phone (361) 902-6100.

Contact Information

Primary practice address
2606 Hospital Blvd 4 West Corpus Christi TX 78405-1833
Phone: (361) 902-6100
Fax: (361) 902-6935
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00623 Texas
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA00623 Texas

Profile Details

NPI number 1760475933
LBN Legal business name Boostrom, William C.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Apr 14th, 2021 - about 3 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 1760475933 NPPES
Texas MEDICAID 345976001
Texas Other 1L4734
Texas Other P02601724

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