Boudreaux, Carole
Boudreaux, Carole is an individual health care provider with primary practice located at 2451 Fillingim St Pathology, Mobile AL 36617-2238. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Boudreaux, Carole can be contacted via phone (251) 471-7790.Contact Information
Primary practice address
2451 Fillingim St Pathology
Mobile AL 36617-2238
Phone: (251) 471-7790
Fax: (251) 471-7715
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cytopathology | 207ZC0500X | 16509 | Alabama |
| Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology | 207ZP0102X | 16509 | Alabama |
Profile Details
| NPI number | 1083664239 |
|---|---|
| LBN Legal business name | Boudreaux, Carole |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 10th, 2006 |
| Last updated | Dec 3rd, 2015 - about 10 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 | 1083664239 | NPPES |
| Mississippi | MEDICAID | 00118221 | |
| Mississippi | MEDICAID | 1523593 | |
| Mississippi | Other | 51024061 | |
| Mississippi | Other | 11-10270 | |
| Mississippi | MEDICAID | 000024061 | |
| Mississippi | MEDICAID | 255587500 |
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