Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ETHAN TIMOTHY BOLES
Active Sole ProprietorETHAN TIMOTHY BOLES is a Case Manager healthcare provider located in ADA, Oklahoma. NPI 1437896370 is currently active in the NPPES registry. Verify at CMS.
Case Manager · ADA, OK
Registration Details
- NPI Number
- 1437896370
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 12, 2022 (4.2625268338147 yrs)
- Last Updated
- May 12, 2022
- Sole Proprietor
- Yes
Practice Information
- Address
-
1600 S BROADWAY AVEADA, OK, 748208708Browse OK providers · Browse ZIP 74820
- Phone
- 5803204182
- Primary Specialty
-
Case Manager
171M00000X
Other Case Manager Providers in ADA, OK
| Name | Credential | NPI |
|---|---|---|
| MR. LARSON DEAN WALTON | BA,AA,AA,AA,AA,AA,AA | 1417172925 |
| MISS KIMBERLY W KANIATOBE | — | 1508087099 |
| MISS TERA L MCCULLAR | BA | 1528263399 |
| MRS. LARONDA AKISHA WOODS REDDICK | MED, CM | 1871824268 |
| ADRIAN LAYNE GOLD | — | 1336440296 |
| REBECCA PICAZO | — | 1134414501 |
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.