Myron Boling
Individual provider Active NPI Case Manager/Care Coordinator · Marion, AR
NPI 1104022862 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104022862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Case Manager/Care Coordinator 171M00000X
- Practice address
- 210 Manor St
Marion, AR 72364-1936 - Phone
- (870) 739-6818
- NPI assigned
- Jun 21, 2007
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | Yes |
Addresses
Primary practice location
210 Manor St
Marion, AR 72364-1936
Mailing address
2902 Scotchwood Dr
Jonesboro, AR 72401-8215
Phone (870) 273-2841
Other providers in Marion, AR
- Olivia Behrens
- David Russell Bell Jr.
- Jeanneka Black
- Riqell Boga
- Tyneshia Bohanon
- Lisa Bolton
- Sheron Booker
- Brooke Boone
- Angela Borden
- Jeanne Boschert
All providers in Marion, AR · Case Manager/Care Coordinator in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.