Boden, Robert Louis

Boden, Robert Louis is an individual health care provider with primary practice located at 320 Skyview Dr , Paris KY 40361-1039. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Boden, Robert Louis can be contacted via phone (859) 514-6675.

Contact Information

Primary practice address
320 Skyview Dr Paris KY 40361-1039
Phone: (859) 514-6675
Fax: (859) 514-5962
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA044 Kentucky

Profile Details

NPI number 1255463196
LBN Legal business name Boden, Robert Louis
Credentials CSA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 9th, 2007
Last updated Jul 8th, 2007 - about 18 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 1255463196 NPPES
Kentucky Other 755 NSAA
Kentucky Other SA044 NSAA

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