Boukia, Revaz

Boukia, Revaz is an sole proprietor health care provider with primary practice located at 252 Enfield Rd , Lincoln ME 04457-4146. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Boukia, Revaz can be contacted via phone (207) 794-7215.

Contact Information

Primary practice address
252 Enfield Rd Lincoln ME 04457-4146
Phone: (207) 794-7215
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1144638859
LBN Legal business name Boukia, Revaz
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 25th, 2014
Last updated Jul 25th, 2014 - 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.

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