J Boatman Llc

LBN: J Boatman Llc
J Boatman Llc is an health care organization with primary practice located at 11475 Olde Cabin Rd Ste 120 , Creve Coeur MO 63141-7128. The organization recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as the primary health care specialty. J Boatman Llc can be contacted via phone (314) 647-4488, or through Boatman, Jeffrey via phone (314) 753-5184.

Contact Information

Primary practice address
11475 Olde Cabin Rd Ste 120 Creve Coeur MO 63141-7128
Phone: (314) 647-4488
Fax: (314) 647-6305
Website:
Map and Directions
Authorized official contact:
Name: Boatman, Jeffrey Master of Science in Nursing (MSN)
Phone: (314) 753-5184

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 11805 Missouri

Profile Details

NPI number 1003112558
LBN Legal business name J Boatman Llc
DBA Doing business as
Authorized official Boatman, Jeffrey Master of Science in Nursing (MSN)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2011
Last updated Oct 10th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1003112558 NPPES
Missouri Other 580714 ANTHEM BCBS

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