Boineau, Susan

Boineau, Susan is an individual health care provider with primary practice located at 7610 Highway 164 , Hollywood SC 29449-5934. She recently has 2 registered licenses in different health care specialties including Eye and Vision Services Providers / Technician/Technologist, Technologists, Technicians & Other Technical Service Providers / Technician, Other. Eye and Vision Services Providers / Technician/Technologist is her primary health care specialty. Boineau, Susan can be contacted via phone (843) 889-9366.

Contact Information

Primary practice address
7610 Highway 164 Hollywood SC 29449-5934
Phone: (843) 889-9366
Fax: (843) 889-9940
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Technician/Technologist 156F00000X 730 South Carolina
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X

Profile Details

NPI number 1649331547
LBN Legal business name Boineau, Susan
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Nov 5th, 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 1649331547 NPPES
South Carolina MEDICAID VA9961

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