Provider Demographics
NPI:1437221397
Name:BOOS, HOWARD J (DC)
Entity Type:Individual
Prefix:
First Name:HOWARD
Middle Name:J
Last Name:BOOS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6717 S YALE AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3328
Mailing Address - Country:US
Mailing Address - Phone:918-749-2992
Mailing Address - Fax:918-493-2994
Practice Address - Street 1:6717 S YALE AVE STE 205
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-3328
Practice Address - Country:US
Practice Address - Phone:918-749-2992
Practice Address - Fax:918-493-2994
Is Sole Proprietor?:No
Enumeration Date:2006-11-15
Last Update Date:2009-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2068111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK350057155OtherRAILROAD MEDICARE
OK350057155OtherRAILROAD MEDICARE