Boswell, Craig Lee

Boswell, Craig Lee is an individual health care provider with primary practice located at 1001 E Primrose St , Springfield MO 65807-7006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Boswell, Craig Lee can be contacted via phone (417) 875-3462.

Contact Information

Primary practice address
1001 E Primrose St Springfield MO 65807-7006
Phone: (417) 875-3462
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 2001010847 Missouri
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 2001010847 Missouri

Profile Details

NPI number 1487613378
LBN Legal business name Boswell, Craig Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 21st, 2006
Last updated Dec 27th, 2018 - about 6 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 1487613378 NPPES
Missouri MEDICAID 205298110
Missouri Other 1256
Missouri MEDICAID 205298128
Missouri Other P00191393
Missouri MEDICAID 143642001

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