Provider Demographics
NPI:1689414864
Name:BOSHNJAKU, ELIAN
Entity type:Individual
Prefix:
First Name:ELIAN
Middle Name:
Last Name:BOSHNJAKU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1439 TOWNSEND TRL NE
Mailing Address - Street 2:
Mailing Address - City:ROCKFORD
Mailing Address - State:MI
Mailing Address - Zip Code:49341-9792
Mailing Address - Country:US
Mailing Address - Phone:773-526-8184
Mailing Address - Fax:
Practice Address - Street 1:1439 TOWNSEND TRL NE
Practice Address - Street 2:
Practice Address - City:ROCKFORD
Practice Address - State:MI
Practice Address - Zip Code:49341-9792
Practice Address - Country:US
Practice Address - Phone:773-526-8184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-28
Last Update Date:2024-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty