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

EDDIE BOLES III

Active

EDDIE BOLES III is a Community Health Worker healthcare provider located in WAYNE, Michigan. NPI 1922796515 is currently active in the NPPES registry. Verify at CMS.

Community Health Worker · WAYNE, MI

Registration Details

NPI Number
1922796515
Provider Type
Individual
Gender
Male
NPI Issued
May 1, 2023 (3.1039755549482 yrs)
Last Updated
Jul 27, 2023

Practice Information

Address
35425 W MICHIGAN AVE
WAYNE, MI, 481849800
Browse MI providers · Browse ZIP 48184
Phone
7344605242
Primary Specialty
Community Health Worker
172V00000X

Other Community Health Worker Providers in WAYNE, MI

Name Credential NPI
CARRIE WALRATH 1992184550
XAVIER OLIVER 1962867614
MRS. PRISICILLA ANN WILLIAMS LLBSW 1063959989
JADA ARMANI ROBINSON I 1396491874
RANGER SCARCELLO 1780382135
HALEY NOVAK 1679259493
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.