1992927305 NPI number — DR. APRIL ATKINS BOSWELL MD

Table of content: DR. APRIL ATKINS BOSWELL MD (NPI 1992927305)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1992927305 NPI number — DR. APRIL ATKINS BOSWELL MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BOSWELL
Provider First Name:
APRIL
Provider Middle Name:
ATKINS
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1992927305
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
12/08/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1306 CONCOURSE DR STE 201
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
LINTHICUM HEIGHTS
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21090-1033
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
813-882-9986
Provider Business Mailing Address Fax Number:
813-341-3259

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
6701 CARMEL RD STE 116
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CHARLOTTE
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28226-3953
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-251-9944
Provider Business Practice Location Address Fax Number:
910-763-4666
Provider Enumeration Date:
05/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207N00000X , with the licence number:  35089542 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207ND0900X , with the licence number: 2009-00391 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 207N00000X , with the licence number: 2009-00391 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 1992927305 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 341204 , issued by the state of ( SC ) . This identifiers is of the category "MEDICAID".
  • Identifier: 5912152 , issued by the state of ( NC ) . This identifiers is of the category "MEDICAID".




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