Boster, Alexis
Boster, Alexis is an sole proprietor health care provider with primary practice located at 1500 Wilson Loop , Ward AR 72176. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Boster, Alexis can be contacted via phone (501) 941-5630.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | PTA2432 | Arkansas |
Profile Details
| NPI number | 1316257249 |
|---|---|
| LBN Legal business name | Boster, Alexis |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2010 |
| Last updated | Oct 13th, 2010 - about 15 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 | 1316257249 | NPPES |
| Arkansas | MEDICAID | 183418721 |
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