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NPI Code Detail

MEDICARE: CAROLINE BOST

MEDICARE: CAROLINE BOST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation Practitioner

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1891816856
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAROLINE BOST
Provider Business Mailing Address
First Line : 5010 SAMET DR APT 3E
Second Line :
City : HIGH POINT
State : NC
Zip : 27265-1513
Country : US
Telephone Number : 336-404-1525
Fax Number :
Provider Business Practice Location Address
First Line : 2300 SPRING GARDEN ST
Second Line :
City : GREENSBORO
State : NC
Zip : 27403-2135
Country : US
Telephone Number : 336-294-3338
Fax Number : 336-294-6696
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/09/2007

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