National Provider Identifier Database

RICHARD C BOLEWARE, CP – NPI #1194909069
Prosthetist

An individual skilled in the practice, making, use, and application to individual cases of an artificial substitute for a missing body part, such as an arm or leg, eye or tooth, used for functional or cosmetic reasons, or both


Contact Information

RICHARD C BOLEWARE, CP
2 OLD RIVER PL STE D
JACKSON, MS39202-3435
Phone: 601-944-1130
Fax: 601-355-7476
Website:
Specialty Taxonomy Code
* Prosthetist 224P00000X

* Indicates primary specialty

NPI Profile & details for RICHARD C BOLEWARE

NPI Number 1194909069
Credentials CP
Entity Individual
Enumeration date 12/27/2007
Last updated 05/19/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MS License #: CP003226
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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