person
Mr. Richard C Boleware, CP
Prosthetist in Jackson, Mississippi
NPI 1194909069

Richard C Boleware is a Prosthetist based in Jackson, MS. Richard C Boleware practices in Jackson, MS and has the professional credentials of CP. The NPI Number for Richard C Boleware is 1194909069 and holds a License No. CP003226 (Mississippi).

The current practice location address for Richard C Boleware is 2 Old River Pl Ste D, Jackson, MS and can be reached out via phone at 601-944-1130 and via fax at 601-355-7476.

Location: 2 Old River Pl Ste D, Jackson, MS, 39202-3435
person
Provider Profile Details
NPI Number
1194909069
Provider Name
Richard C Boleware
Credential
CP
Provider Entity Type
Individual
Gender
Male
Address
2 Old River Pl Ste D, Jackson, MS, 39202-3435
Phone Number
601-944-1130
Fax Number
601-355-7476
Provider Enumeration Date
12/27/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2 Old River Pl Ste D
City
State
Zip
39202-3435
Phone Number
601-944-1130
Fax Number
601-355-7476
person
Provider Business Mailing Address Details
Address
2 Old River Pl Ste D
City
State
Zip
39202-3435
Phone Number
601-944-1130
Fax Number
601-355-7476
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
License No.
CP003226 (Mississippi)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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