Boals, Laura N

Boals, Laura N is an individual health care provider with primary practice located at 2265 Parr Ave , Dyersburg TN 38024-2078. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Boals, Laura N can be contacted via phone (731) 285-6600.

Contact Information

Primary practice address
2265 Parr Ave Dyersburg TN 38024-2078
Phone: (731) 285-6600
Fax: (731) 285-8005
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8385 Tennessee

Profile Details

NPI number 1053543207
LBN Legal business name Boals, Laura N
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2009
Last updated Feb 2nd, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1053543207 NPPES
Tennessee Other 4235349 BCBS OF TN
Tennessee MEDICAID 0446631 BCBS OF TN

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