NPI 1104550706
Michael Boose
Practice location
- Address
- 25 Kingery CT APT 38, Belleville, IL 62226-6280
- Phone
- (618) 381-2886
Registered specialties
Homemaker
Primary
Registry record
- NPI
- 1104550706
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 11 Jul 2022
- Record last updated
- 11 Jul 2022
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.