Boatner, Denise E
Boatner, Denise E is an individual health care provider with primary practice located at 618 Pegram Dr , Tupelo MS 38801-6322. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Boatner, Denise E can be contacted via phone (662) 844-3583.Contact Information
Primary practice address
618 Pegram Dr
Tupelo MS 38801-6322
Phone: (662) 844-3583
Fax: (662) 840-8354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter | 237600000X | A2838 | Mississippi |
Profile Details
| NPI number | 1376664532 |
|---|---|
| LBN Legal business name | Boatner, Denise E |
| Credentials | M.S., CCC-A |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376664532 | NPPES |
| Mississippi | MEDICAID | 04701341 |
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