Boden, Donna Jean

Boden, Donna Jean is an individual health care provider with primary practice located at 5301 Virginia Way Suite 300, Brentwood TN 37027-7541. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as her primary health care specialty. Boden, Donna Jean can be contacted via phone (615) 221-4474.

Contact Information

Primary practice address
5301 Virginia Way Suite 300 Brentwood TN 37027-7541
Phone: (615) 221-4474
Fax: (615) 234-3774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 36505 Kentucky
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 35255 Tennessee

Profile Details

NPI number 1770680449
LBN Legal business name Boden, Donna Jean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 17th, 2006
Last updated Jul 13th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770680449 NPPES
Kentucky MEDICAID 64034093

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