Boughaba, Dolly Albert

Boughaba, Dolly Albert is an individual health care provider with primary practice located at 405 Southwind Ln , Ludlow KY 41016-1715. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Boughaba, Dolly Albert can be contacted via phone (513) 470-2777.

Contact Information

Primary practice address
405 Southwind Ln Ludlow KY 41016-1715
Phone: (513) 470-2777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 01072116A Indiana

Profile Details

NPI number 1376582221
LBN Legal business name Boughaba, Dolly Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Feb 5th, 2024 - about 9 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376582221 NPPES
Kentucky MEDICAID 64053101
Kentucky Other 000000804952
Kentucky MEDICAID 200388530

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