Boudreau, Brian Louis

Boudreau, Brian Louis is an sole proprietor health care provider with primary practice located at 300 Longwood Ave Department Of Otolaryngology, Boston MA 02115-5724. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Boudreau, Brian Louis can be contacted via phone (617) 355-6460.

Contact Information

Primary practice address
300 Longwood Ave Department Of Otolaryngology Boston MA 02115-5724
Phone: (617) 355-6460
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA5161 Massachusetts

Profile Details

NPI number 1417352816
LBN Legal business name Boudreau, Brian Louis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 28th, 2014
Last updated Oct 28th, 2014 - about 11 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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