Bouldin, Anthony A
Bouldin, Anthony A is an individual health care provider with primary practice located at 600 Broadway Ste 400 , Seattle WA 98122-5312. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology. Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology is his primary health care specialty. Bouldin, Anthony A can be contacted via phone (206) 215-1440.Contact Information
Primary practice address
600 Broadway Ste 400
Seattle WA 98122-5312
Phone: (206) 215-1440
Fax: (206) 215-1441
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | MD00042649 | Washington |
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | MD00042649 | Washington |
| Allopathic & Osteopathic Physicians / Neurology with Special Qualifications in Child Neurology | 2084N0402X | MD00042649 | Washington |
Profile Details
| NPI number | 1164503413 |
|---|---|
| LBN Legal business name | Bouldin, Anthony A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Mar 17th, 2018 - about 6 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 | 1164503413 | NPPES |
| Washington | MEDICAID | 8369795 | |
| Washington | Other | 262640 |
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