Individual provider · Type 1 NPI

Richard C. Boleware, CP

Prosthetist · Jackson, MS

NPI number 1194909069 Active

Practice location

2 Old River Pl Ste D
Jackson, MS 39202-3435

Call (601) 944-1130 Map

Fax (601) 355-7476

Specialties and licenses

TaxonomyCodeLicense
Prosthetist Primary 224P00000XCP003226 (MS)

Prosthetist: A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.

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About NPI 1194909069

Richard C. Boleware, CP's National Provider Identifier is 1194909069, issued on Dec 27, 2007. The primary taxonomy on file is Prosthetist (224P00000X), and the practice location is in Jackson, MS. The record was last updated on May 19, 2015.