Timothy Isaac Bostick CASE MANAGER PARAPRO

NPI 1295863819 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1295863819
Gender Male
Enumeration Date 03/02/2007
Last Updated 12/08/2008
Entity Type Individual
Active Over 9 years ago
Practice Location
1505 S OSWEGO AVE
RUSSELLVILLE AR, 72802-2673, US
Phone (479) 967-3370
Fax (479) 967-2775
Business Location
1505 S OSWEGO AVE
RUSSELLVILLE AR, 72802-2673, US
Phone (479) 967-3370
Fax (479) 967-2775
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
Remove 1295863819 NPI Number
 

According to our database, Mr. Timothy Isaac Bostick CASE MANAGER PARAPRO NPI is 1295863819, taxonomy code is 171M00000X Timothy Isaac Bostick CASE MANAGER PARAPRO physically located at 1505 S Oswego Ave, Russellville AR, 72802-2673. NPI Number Timothy Isaac Bostick CASE MANAGER PARAPRO has the Individual type.

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1295863819 NPI number is provided on an as is basis without warranty of any kind. 1295863819 is maintained by the National Plan & Provider Enumeration System. The contents of Timothy Isaac Bostick CASE MANAGER PARAPRO are for informational purposes only.