Boudreau, Ryan

Boudreau, Ryan is an sole proprietor health care provider with primary practice located at 6955 Golfcrest Dr Apt 1030, San Diego CA 92119-2470. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Independent Duty Corpsman, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Boudreau, Ryan can be contacted via phone (240) 750-0728.

Contact Information

Primary practice address
6955 Golfcrest Dr Apt 1030 San Diego CA 92119-2470
Phone: (240) 750-0728
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1164982

Profile Details

NPI number 1093194284
LBN Legal business name Boudreau, Ryan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 21st, 2015
Last updated Oct 17th, 2019 - about 5 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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