Boudreaux, Bonnie
Boudreaux, Bonnie is an individual health care provider with primary practice located at Po Box 480 , Sweetwater TN 37874-0480. She recently has only one registered license in Dental Providers / Endodontics, which is considered as her primary health care specialty. Boudreaux, Bonnie can be contacted via phone (423) 271-6075.Contact Information
Primary practice address
Po Box 480
Sweetwater TN 37874-0480
Phone: (423) 271-6075
Fax: (423) 271-6065
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | 11895 | Tennessee |
Profile Details
| NPI number | 1538419023 |
|---|---|
| LBN Legal business name | Boudreaux, Bonnie |
| Credentials | DMD, MS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 12th, 2012 |
| Last updated | Jun 18th, 2024 - about 6 months 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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