Boudreaux, Mandy Lynn
Boudreaux, Mandy Lynn is an individual health care provider with primary practice located at 118 N Hospital Dr , Abbeville LA 70510-4039. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics, which is considered as her primary health care specialty. Boudreaux, Mandy Lynn can be contacted via phone (337) 893-6294.Contact Information
Primary practice address
118 N Hospital Dr
Abbeville LA 70510-4039
Phone: (337) 893-6294
Fax: (337) 893-6369
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics | 207VX0000X | 201161 | Louisiana |
Profile Details
| NPI number | 1225123839 |
|---|---|
| LBN Legal business name | Boudreaux, Mandy Lynn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Jan 9th, 2013 - about 11 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 | 1225123839 | NPPES |
| Louisiana | MEDICAID | 1706639 | |
| Louisiana | Other | UPIN # I64230 |
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