Boudreau, James Bryce

Boudreau, James Bryce is an sole proprietor health care provider with primary practice located at 1600 E Broadway , Columbia MO 65201-5844. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Boudreau, James Bryce can be contacted via phone (573) 815-8000.

Contact Information

Primary practice address
1600 E Broadway Columbia MO 65201-5844
Phone: (573) 815-8000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022013516 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X 2018007575 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2022021020 Missouri

Profile Details

NPI number 1689312787
LBN Legal business name Boudreau, James Bryce
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 26th, 2022
Last updated Jun 13th, 2022 - about 2 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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