Boudreau, Jamie David

Boudreau, Jamie David is an sole proprietor health care provider with primary practice located at 19 N Main St , Derry NH 03038-1208. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as his primary health care specialty. Boudreau, Jamie David can be contacted via phone (603) 437-5200.

Contact Information

Primary practice address
19 N Main St Derry NH 03038-1208
Phone: (603) 437-5200
Fax: (603) 437-5244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X 0072 New Hampshire

Profile Details

NPI number 1780146688
LBN Legal business name Boudreau, Jamie David
Credentials Athletic Trainer, Certified (ATC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2019
Last updated Apr 1st, 2019 - about 6 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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