Boudreaux, Benjamin Joseph

Boudreaux, Benjamin Joseph is an sole proprietor health care provider with primary practice located at 3401 E Causeway Approach , Mandeville LA 70448-3447. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Boudreaux, Benjamin Joseph can be contacted via phone (985) 237-6050.

Contact Information

Primary practice address
3401 E Causeway Approach Mandeville LA 70448-3447
Phone: (985) 237-6050
Fax: (985) 237-6052
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X MD.201940 Louisiana

Profile Details

NPI number 1720256365
LBN Legal business name Boudreaux, Benjamin Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 18th, 2008
Last updated Sep 12th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720256365 NPPES
Louisiana MEDICAID 1303216

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