Boudreau, Gary
Boudreau, Gary is an sole proprietor health care provider with primary practice located at 12 Stillwater Ave , Bangor ME 04401-3984. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Boudreau, Gary can be contacted via phone (207) 941-6550.Contact Information
Primary practice address
12 Stillwater Ave
Bangor ME 04401-3984
Phone: (207) 941-6550
Fax: (207) 973-3952
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Denturist | 122400000X | 5535 | Maine |
Profile Details
| NPI number | 1467996330 |
|---|---|
| LBN Legal business name | Boudreau, Gary |
| Credentials | LD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 13th, 2016 |
| Last updated | Dec 13th, 2016 - about 8 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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