Charmian D Boles
Individual provider Active NPI Homemaker · Trotwood, OH
NPI 1336735141 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1336735141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Homemaker 376J00000X
- License
- 5715819 (OH)
- Practice address
- 700 N Eppington Dr
Trotwood, OH 45426-2520 - Phone
- (937) 422-8085
- NPI assigned
- Dec 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5715819 | OH | MD | Homemaker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | 5715819 | OH | Yes |
Addresses
Primary practice location
700 N Eppington Dr
Trotwood, OH 45426-2520
Mailing address
700 N Eppington Dr
Trotwood, OH 45426-2520
Phone (937) 422-8085
Other providers in Trotwood, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. 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.