MEDICARE: SCOTT ALAN BOSCHEE MD

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
1	208000000X	Pediatrics Physician	01063645A	IN

General Provider Information

NPI Number	:	1568663409
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SCOTT ALAN BOSCHEE MD

Provider Business Mailing Address
First Line	:	14540 PRAIRIE LAKES BLVD N STE 200
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4370
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14540 PRAIRIE LAKES BLVD N STE 200
Second Line	:
City	:	NOBLESVILLE
State	:	IN
Zip	:	46060-4370
Country	:	US
Telephone Number	:	317-578-4193
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/29/2007
Last Update Date	:	06/01/2022

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Directions to “ SCOTT ALAN BOSCHEE MD” Practice Location

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