Bouldin, Steven Leander

Bouldin, Steven Leander is an individual health care provider with primary practice located at 1559 Sparta St , Mcminnville TN 37110-1316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Bouldin, Steven Leander can be contacted via phone (931) 815-4000.

Contact Information

Primary practice address
1559 Sparta St Mcminnville TN 37110-1316
Phone: (931) 815-4000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 67110 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 67110 Georgia
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 55472 Tennessee

Profile Details

NPI number 1669799532
LBN Legal business name Bouldin, Steven Leander
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2010
Last updated Apr 30th, 2021 - about 4 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 1669799532 NPPES
Georgia MEDICAID 003121581H

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