Individual
MICHELLE BOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 742-5252
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0412
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000042887
BMC HEALTHNET PLAN
—
05
—
292390099
—
ME
05
—
30331834
—
NH
01
—
970023121
RAILROAD MEDICARE
—
Enumeration date
08/05/2006
Last updated
10/30/2013
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