Bouldin, Laconia Venaye

Bouldin, Laconia Venaye is an sole proprietor health care provider with primary practice located at 2760 Riverside Dr , Cincinnati OH 45202-1820. She recently has only one registered license in Nursing Service Related Providers / Chore Provider, which is considered as her primary health care specialty. Bouldin, Laconia Venaye can be contacted via phone (513) 837-3575.

Contact Information

Primary practice address
2760 Riverside Dr Cincinnati OH 45202-1820
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Chore Provider 372500000X Ohio

Profile Details

NPI number 1447975347
LBN Legal business name Bouldin, Laconia Venaye
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 4th, 2022
Last updated Oct 4th, 2022 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447975347 NPPES
Ohio MEDICAID 563

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