Bouldin, Charles Edward
Bouldin, Charles Edward is an sole proprietor health care provider with primary practice located at 4749 S Eason Blvd Suite A, Tupelo MS 38801-6547. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Bouldin, Charles Edward can be contacted via phone (662) 842-3336.Contact Information
Primary practice address
4749 S Eason Blvd Suite A
Tupelo MS 38801-6547
Phone: (662) 842-3336
Fax: (662) 842-3363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | PT0198 | Mississippi |
Profile Details
| NPI number | 1679690101 |
|---|---|
| LBN Legal business name | Bouldin, Charles Edward |
| Credentials | Registered Physical Therapist (RPT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Nov 8th, 2010 - about 15 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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