Boudreaux, Benjamin Paul

Boudreaux, Benjamin Paul is an individual health care provider with primary practice located at 811 Cox Rd , Gastonia NC 28054-3453. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Boudreaux, Benjamin Paul can be contacted via phone (704) 272-3578.

Contact Information

Primary practice address
811 Cox Rd Gastonia NC 28054-3453
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 2020-04025 North Carolina

Profile Details

NPI number 1871723411
LBN Legal business name Boudreaux, Benjamin Paul
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2009
Last updated Apr 23rd, 2024 - about last year

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 1871723411 NPPES
North Carolina MEDICAID 1871723411

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