Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JAKE P BOSTROM, M.D.
ActiveOphthalmology · BOILING SPRINGS, SC
Registration Details
- NPI Number
- 1295886125
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 16, 2007 (19.278884803069 yrs)
- Last Updated
- Jul 9, 2019
- License
-
31615 (SC)
Practice Information
- Address
-
1520 BOILING SPRINGS RDBOILING SPRINGS, SC, 29316Browse SC providers · Browse ZIP 29316
- Phone
- 8645836381
- Fax
- 8645836390
- Primary Specialty
-
Ophthalmology
207W00000X
Other Ophthalmology Providers in BOILING SPRINGS, SC
| Name | Credential | NPI |
|---|---|---|
| DR. BILLY J HAGUEWOOD JR. | M.D. | 1992708135 |
| TODD D GWIN | MD | 1225030208 |
| DR. BRICE B. DILLE | M.D. | 1437151990 |
| MRS. KAREN LEANNE WICKLIFFE-KEISLER | M.D. | 1235333634 |
| DR. MATTHEW WADE BICKFORD | MD | 1750841383 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.