Boisclair, Paula Jayne

Boisclair, Paula Jayne is an individual health care provider with primary practice located at 4399 35Th St N , St Petersburg FL 33714-3722. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Boisclair, Paula Jayne can be contacted via phone (727) 525-3959.

Contact Information

Primary practice address
4399 35Th St N St Petersburg FL 33714-3722
Fax: (727) 527-9695
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X 4195 Florida

Profile Details

NPI number 1649562489
LBN Legal business name Boisclair, Paula Jayne
Credentials OPTICIAN
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2011
Last updated May 12th, 2011 - about 13 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 1649562489 NPPES
Florida MEDICAID 630114200

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