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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

JACKIE BOESINGER

Active Sole Proprietor

JACKIE BOESINGER is a Behavioral Health, Residential healthcare provider located in SAGAMORE HILLS, Ohio. NPI 1467015008 is currently active in the NPPES registry. Verify at CMS.

Behavioral Health, Residential · SAGAMORE HILLS, OH

Registration Details

NPI Number
1467015008
Provider Type
Individual
Gender
Female
NPI Issued
Apr 18, 2019 (7.3606161716011 yrs)
Last Updated
Apr 18, 2019
Sole Proprietor
Yes

Practice Information

Address
1266 ROMANE DR
SAGAMORE HILLS, OH, 440671652
Browse OH providers · Browse ZIP 44067
Phone
3303526775
Primary Specialty
Behavioral Health, Residential
251C00000X
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.