Boudreau, Douglas A
Boudreau, Douglas A is an individual health care provider with primary practice located at 303 Fraser Dr , Hinesville GA 31313-3712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Boudreau, Douglas A can be contacted via phone (912) 877-2227.Contact Information
Primary practice address
303 Fraser Dr
Hinesville GA 31313-3712
Phone: (912) 877-2227
Fax: (912) 877-2332
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 90555 | Georgia |
Profile Details
| NPI number | 1598720617 |
|---|---|
| LBN Legal business name | Boudreau, Douglas A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 20th, 2006 |
| Last updated | Sep 20th, 2023 - about last year |
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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598720617 | NPPES |
| Other | 440546366 | UNITED HEALTHCARE | |
| Other | PC10371 | UNITED HEALTHCARE | |
| Other | 1724934 | UNITED HEALTHCARE | |
| MEDICAID | 204659403 | UNITED HEALTHCARE | |
| Other | H00943 | UNITED HEALTHCARE | |
| Other | 207515500 | UNITED HEALTHCARE | |
| Other | 411755 | UNITED HEALTHCARE | |
| Other | 7609055 | UNITED HEALTHCARE | |
| Other | 124669 | UNITED HEALTHCARE | |
| Other | 204659403 | UNITED HEALTHCARE |
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