Boulanger, Bernard Roger
Boulanger, Bernard Roger is an individual health care provider with primary practice located at 740 South Limestone , Lexington KY 40536-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Boulanger, Bernard Roger can be contacted via phone (859) 257-3253.Contact Information
Primary practice address
740 South Limestone
Lexington KY 40536-0001
Phone: (859) 257-3253
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | 34259 | Kentucky |
| Allopathic & Osteopathic Physicians / Trauma Surgery | 2086S0127X | 34259 | Kentucky |
Profile Details
| NPI number | 1508815796 |
|---|---|
| LBN Legal business name | Boulanger, Bernard Roger |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 8th, 2006 |
| Last updated | Jan 3rd, 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 | 1508815796 | NPPES |
| Kentucky | MEDICAID | 64342959 |
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