Boduch, Anastasia

Boduch, Anastasia is an sole proprietor health care provider with primary practice located at 411 Oak St , Cincinnati OH 45219-2504. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Boduch, Anastasia can be contacted via phone (513) 984-1800.

Contact Information

Primary practice address
411 Oak St Cincinnati OH 45219-2504
Fax: (513) 984-4909
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X

Profile Details

NPI number 1134829393
LBN Legal business name Boduch, Anastasia
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 7th, 2023
Last updated Mar 7th, 2023 - about 2 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 1134829393 NPPES
Other OPTIONAL COAST GUARD

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