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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720256365 | NPPES |
| Louisiana | MEDICAID | 1303216 |
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