Boudewyns, Emily

Boudewyns, Emily is an individual health care provider with primary practice located at 21 Grand St , Hartford CT 06106-1541. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Boudewyns, Emily can be contacted via phone (860) 550-7500.

Contact Information

Primary practice address
21 Grand St Hartford CT 06106-1541
Phone: (860) 550-7500
Fax: (860) 550-7501
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 007294 Connecticut

Profile Details

NPI number 1649417288
LBN Legal business name Boudewyns, Emily
Credentials Registered Dental Hygienist (RDH)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2009
Last updated Nov 19th, 2010 - about 15 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 1649417288 NPPES
Connecticut MEDICAID 004235992

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