Individual
EVELYN E BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
7979 N SHADELAND AVE STE 300, INDIANAPOLIS, IN 46250
(317) 621-4418
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01060931A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200829670
—
IN
01
—
P01160743
RAILROAD MEDICARE
IN
Enumeration date
05/18/2006
Last updated
05/16/2025
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