Boudreaux, Shannon Christopher

Boudreaux, Shannon Christopher is an sole proprietor health care provider with primary practice located at 5151 N 9Th Ave , Pensacola FL 32504-8721. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Boudreaux, Shannon Christopher can be contacted via phone (850) 416-7710.

Contact Information

Primary practice address
5151 N 9Th Ave Pensacola FL 32504-8721
Phone: (850) 416-7710
Fax: (850) 416-7677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME95353 Florida
Allopathic & Osteopathic Physicians / Pediatrics 208000000X ME95353 Florida

Profile Details

NPI number 1245285824
LBN Legal business name Boudreaux, Shannon Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2006
Last updated Feb 9th, 2024 - about 10 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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