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:
Health care specialties
Specialty | Code | License # | 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 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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